Jill Ann Mahan, RD | |
400 E 3rd St, 400 East Third Street, Duluth, MN 55805-1951 | |
(218) 786-8364 | |
Not Available |
Full Name | Jill Ann Mahan |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 400 E 3rd St, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1104280692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 3219 (Minnesota) | Primary |
Provider Name | St Marys Hospital Of Superior |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083657886 PECOS PAC ID: 8628964228 Enrollment ID: O20040309000070 |
Mailing Address | Practice Location Address |
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Jill Ann Mahan, RD 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Jill Ann Mahan, RD 400 E 3rd St, 400 East Third Street, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Rachelle Goebel, Dietitian Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555 | |
Sarah Ann Stock, Dietitian Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555 | |
Melanie Joy Henrickson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3805 W Arrowhead Rd, Duluth, MN 55811 Phone: 218-340-7248 | |
Laura Ann Pietig, RD/LD Dietitian Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5231 | |
Brenda Marie Schwerdt, Dietitian Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555 | |
Kaia Chamberlain, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-2470 Fax: 218-249-2401 |