Jason Mayotte-blum (NPI# 1952702078, PAC ID# 5193005718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1952702078 |
| PAC ID by PECOS | 5193005718 |
| Professional Enrollment ID | I20161216000697 |
| Full Name | Jason Mayotte-blum |
| Organization Legal Name | LORENZ CLINIC LLC |
| Address |
1435 White Oak Dr Suite 200 Chaska MN 55318-2567 |
| Phone Number | 9524434600 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 7810282845 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1435 White Oak Dr, Suite 200, Chaska, MN 55318-2567 | 9524434600 | LORENZ CLINIC LLC |
| 16180 Hastings Ave Se, Suite 205, Prior Lake, MN 55372-9228 | 9524434600 | LORENZ CLINIC LLC |
| Organization Legal Name | LORENZ CLINIC LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie Lynne Nelson | Clinical Social Worker | Lorenz Clinic LLC | 1435 White Oak Dr, Suite 200, Chaska, MN 55318-2567 |
| Tara A Perttula | Clinical Social Worker | Lorenz Clinic LLC | 16180 Hastings Ave Se, Suite 205, Prior Lake, MN 55372-9228 |
| Sarah E Cherwien | Psychologist, Clinical | Lorenz Clinic LLC | 1772 Steiger Lake Ln, Suite 220, Victoria, MN 55386-7723 |
| Brittney Ann Burns | Nurse Practitioner | Lorenz Clinic LLC | 1435 White Oak Dr, Suite 200, Chaska, MN 55318-2567 |
| Alana M Testa | Clinical Social Worker | Lorenz Clinic LLC | 2930 146th St W, Suite 114, Rosemount, MN 55068-3749 |
| Halaina Irene Christensen | Clinical Social Worker | Lorenz Clinic LLC | 2930 146th St W, Suite 114, Rosemount, MN 55068-3749 |
| Laiel I Baker-dekrey | Psychologist, Clinical | Lorenz Clinic LLC | 1435 White Oak Dr, Suite 200, Chaska, MN 55318-2567 |
| Chad T Lorenz | Clinical Psychologist | Lorenz Clinic LLC | 1772 Steiger Lake Ln, Suite 220, Victoria, MN 55386-7723 |
| Street Address |
1435 WHITE OAK DR SUITE 200 |
| City | CHASKA |
| State | MN |
| Zip | 55318-2567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie Lynne Nelson | Clinical Social Worker | Lorenz Clinic LLC | 1435 White Oak Dr, Suite 200, Chaska, MN 55318-2567 |
| Brittney Ann Burns | Nurse Practitioner | Lorenz Clinic LLC | 1435 White Oak Dr, Suite 200, Chaska, MN 55318-2567 |
| Laiel I Baker-dekrey | Psychologist, Clinical | Lorenz Clinic LLC | 1435 White Oak Dr, Suite 200, Chaska, MN 55318-2567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas A Mclarnan | Clinical Social Worker | 1107 Hazeltine Blvd, Suite 412, Chaska, MN 55318-1022 | |
| Darrin L Bockelmann | Chiropractic | 1107 Hazeltine Blvd, Suite 420, Chaska, MN 55318-1063 | |
| Thomas M Dvorak | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 111 Pioneer Trl, Chaska, MN 55318-1121 |
| Megan K Korpela | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 111 Pioneer Trl, Chaska, MN 55318-1121 |
| Norman B Mekkelsen Iii | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 111 Pioneer Trl, Chaska, MN 55318-1121 |
| Alisha R Englund | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 111 Pioneer Trl, Chaska, MN 55318-1121 |
| Sarah C Krietlow | Optometry | 106 Pioneer Trl, Chaska, MN 55318-1167 | |
| Kathleen R Michalk | Obstetrics/gynecology | Ridgeview Medical Center | 111 Hundertmark Rd, Chaska, MN 55318-1196 |
| Barbara G Houts | Family Medicine | Allina Health System | 111 Hundertmark Rd, Suite 220, Chaska, MN 55318-1197 |
| Liza Antoinette A J Phu | Family Medicine | Allina Health System | 111 Hundertmark Rd, Suite 220, Chaska, MN 55318-1197 |
| Find all physicians in zip 55318 | |||
| City | CHASKA |
| Zip Code | 55318 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | CHASKA + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jason Mayotte-blum.
| 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.