Jason T Wall (NPI# 1386662542, PAC ID# 3274500665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386662542 |
| PAC ID by PECOS | 3274500665 |
| Professional Enrollment ID | I20040915000131 |
| Full Name | Jason T Wall |
| Organization Legal Name | DULUTH GRADUATE MEDICAL EDUCATION COUNCIL, INC |
| Address |
330 N 8th Ave E Duluth MN 55805-2024 |
| Phone Number | 2187231112 |
| Gender | M |
| Credential | MD |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4385545953 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240002 | ESSENTIA HEALTH ST MARY'S MEDICAL CENTER |
| 240047 | ST LUKES HOSPITAL |
| 240019 | ESSENTIA HEALTH DULUTH |
| Address | Phone | Organization |
|---|---|---|
| 330 N 8th Ave E, Duluth, MN 55805-2024 | 2187231112 | DULUTH GRADUATE MEDICAL EDUCATION COUNCIL, INC |
| Organization Legal Name | DULUTH GRADUATE MEDICAL EDUCATION COUNCIL, INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Jones | Family Medicine | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Jennifer C Nelson-albee | Clinical Social Worker | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Lisa S Prusak | Family Medicine | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Lauren E Giammar | Family Medicine | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Darcy S Murphy | Family Medicine | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Mary Margaret Braaten | Family Medicine | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Kim B Kruger | Family Practice | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Street Address |
330 N 8TH AVE E |
| City | DULUTH |
| State | MN |
| Zip | 55805-2024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Jones | Family Medicine | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Jennifer C Nelson-albee | Clinical Social Worker | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Lisa S Prusak | Family Medicine | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Lauren E Giammar | Family Medicine | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Darcy S Murphy | Family Medicine | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Mary Margaret Braaten | Family Medicine | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Kim B Kruger | Family Practice | Duluth Graduate Medical Education Council, Inc | 330 N 8th Ave E, Duluth, MN 55805-2024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D Norgard | Nurse Practitioner | The Duluth Clinic Ltd | 330 E 3rd St, Duluth, MN 55805-1846 |
| Kimberly Jean Lakhan | Physician Assistant | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Gary Wayne Beaver | Neurology | The Duluth Clinic Ltd | 502 E 2nd St, Duluth, MN 55805-1913 |
| Durga Ram Sure | Neurosurgery | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Megan Elizabeth Markes | Physician Assistant | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Anthony Choe Valentine | Physician Assistant | The Duluth Clinic Ltd | 502 E 2nd St, Duluth, MN 55805-1913 |
| Mary E Bray | Obstetrics/gynecology | The Duluth Clinic Ltd | 502 E 2nd St, Duluth, MN 55805-1913 |
| Lynn Taylor Maclean | Family Medicine | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Georgia D K Brunette | Internal Medicine | Polinsky Medical Rehabilitation Center | 530 E 2nd St, Duluth, MN 55805-1913 |
| Andrew Baertsch | Plastic and Reconstructive Surgery | The Duluth Clinic Ltd | 502 E 2nd St, Duluth, MN 55805-1913 |
| Find all physicians in zip 55805 | |||
| City | DULUTH |
| Zip Code | 55805 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DULUTH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jason T Wall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.