Physician Assistant Services


Working with physicians to:

  • Provide quality and accessible health care to our patients
  • Continue our professional and personal development as Physician Assistants
  • Increase the awareness of the Physician Assistant profession at Cleveland Clinic


To offer the most professional and educational opportunities to Physician Assistants throughout the world.


By disseminating information, increasing communication and promoting educational activities for Continual Medical and Professional opportunities, the Physician Assistants of Cleveland Clinic are committed to providing affordable, and assessable quality health care to all patients.

Our Team

Josanne Pagel, MPAS, PA-C, RMT

Josanne is a graduate of a surgical PA program from Cuyahoga Community College. She obtained her Bachelor's degree from Baldwin Wallace College and her Master’s Degree from the University of Nebraska (specializing in psychiatry and addiction medicine).

She has worked for the past 31 years in multiple disciplines of surgery and medicine to include CT surgery, Family Practice, Emergency medicine, Psychiatry and Addiction medicine.

Upon graduating from the Physician Assistant program, she entered the Peace Corps as a health care worker, living for two years in the Philippines.

Josanne also served a term as City Council Representative for North Ridgeville, Ohio.

She has served in many leadership roles for the Ohio Association of PA’s presently as Chair of the Governmental Affairs Committee and Spring Pharmacology CME conference chair.

Josanne is also active with the American Academy of Physician Assistants, having worked on conference planning, PPAP and PA Clinical Leaders in Administration. She also served as a Trustee on the PA Foundation Board of Trustees.

She has over 23 years of management experience and is currently the Director of Physician Assistant Services at Cleveland Clinic where she oversees the practice, policy and privileging of over 200 Physician Assistants, and consults with the community hospitals of Cleveland Clinic who employ an additional 100 plus Physician Assistants.

In addition to being a licensed physician assistant, Josanne is a trained Karuna Reiki®Master and Teacher. In her spare time, Josanne enjoys herbal and vegetable gardening, and studies in metaphysical studies.

Tammela Jeffries

Tammy has been with Physician Assistant Services for over 4 yrs as the PA Services Coordinator. She is responsible for design and upkeep of the Physician Assistant website, privileging and re-privileging and all special projects.

She previously worked at the Federal Reserve Bank for over 18 years.

Marie Hoppert

Marie has been with the Physician Assistant Services department since April working as their clerical assistant. Her main responsibility is to process the paperwork for incoming Physician Assistant students as they prepare to start their rotations.

She joins the Clinic after 13 years at John Carroll University in Admissions. She also has been an Avon representative, achieving President Club status, for 24 years.