Jacqueline F Mahan (NPI# 1821038928, PAC ID# 3476526187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1821038928 |
| PAC ID by PECOS | 3476526187 |
| Professional Enrollment ID | I20100908000494 |
| Full Name | Jacqueline F Mahan |
| Organization Legal Name | MINNESOTA WOMENS CARE PA |
| Address |
1687 Woodlane Dr Suite 101 Woodbury MN 55125-3046 |
| Phone Number | 6512096263 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9638329394 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240210 | HEALTHEAST ST JOHN'S HOSPITAL |
| 240213 | HEALTHEAST WOODWINDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1687 Woodlane Dr, Suite 101, Woodbury, MN 55125-3046 | 6512096263 | MINNESOTA WOMENS CARE PA |
| Organization Legal Name | MINNESOTA WOMENS CARE PA |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laure Jo Waschbusch | Obstetrics/gynecology | Minnesota Womens Care Pa | 2603 White Bear Ave N, Maplewood, MN 55109-5110 |
| Kenneth Wayne Crabb | Obstetrics/gynecology | Minnesota Womens Care Pa | 2603 White Bear Ave N, Maplewood, MN 55109-5110 |
| Rachel Lynn Gates | Certified Nurse Midwife (cnm) | Minnesota Womens Care Pa | 2603 White Bear Ave N, Maplewood, MN 55109-5110 |
| Melvin L Ashford | Obstetrics/gynecology | Minnesota Womens Care Pa | 2603 White Bear Ave N, Maplewood, MN 55109-5110 |
| Theresa M Hoffoss | Nurse Practitioner | Minnesota Womens Care Pa | 2603 White Bear Ave N, Maplewood, MN 55109-5110 |
| Emily Nicole Bernice Myer | Obstetrics/gynecology | Minnesota Womens Care Pa | 2603 White Bear Ave N, Maplewood, MN 55109-5110 |
| Amy E Kelly | Obstetrics/gynecology | Minnesota Womens Care Pa | 2603 White Bear Ave N, Maplewood, MN 55109-5110 |
| Lindsay A Nelson | Certified Nurse Midwife (cnm) | Minnesota Womens Care Pa | 2603 White Bear Ave N, Maplewood, MN 55109-5110 |
| Erin Elizabeth Folkerts | Chiropractic | Minnesota Womens Care Pa | 2603 White Bear Ave N, Maplewood, MN 55109-5110 |
| Elizabeth Rice | Obstetrics/gynecology | Minnesota Womens Care Pa | 2603 White Bear Ave N, Maplewood, MN 55109-5110 |
| Street Address |
1687 WOODLANE DR SUITE 101 |
| City | WOODBURY |
| State | MN |
| Zip | 55125-3046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua D Fingerman | Physical Therapy | Hopkins Health and Wellness Center | 1687 Woodlane Dr, Suite 201, Woodbury, MN 55125-3062 |
| Noah A Bularz | Physical Therapy | Hopkins Health and Wellness Center | 1687 Woodlane Dr, Suite 201, Woodbury, MN 55125-3062 |
| Chandanibahen S Amin | Physical Therapy | Hopkins Health and Wellness Center | 1687 Woodlane Dr, Suite 201, Woodbury, MN 55125-3045 |
| James Alexander Ilko | Family Practice | Ilko Family Medicine, Pa | 1687 Woodlane Dr, Woodbury, MN 55125-3046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kassia E Coleman | Clinical Social Worker | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Elvis T Starllone | Nurse Practitioner | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Dasherline Cox Johnson | Psychologist, Clinical | 6043 Hudson Rd, Suite 355, Woodbury, MN 55125-1017 | |
| Rosella Collins Puoch | Clinical Social Worker | 6043 Hudson Rd, Woodbury, MN 55125-1020 | |
| Kaitlin D Buckner | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Rebekah J Wilson | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Victoria M Elmer | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Shelley R Stepan | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Richard P Lamon | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Kelly J Adams | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Find all physicians in zip 55125 | |||
| City | WOODBURY |
| Zip Code | 55125 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | WOODBURY + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jacqueline F Mahan.
| 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.