Dr Jennifer Mh Mccormack, MD | |
8450 Seasons Parkway, Healthpartners Woodbury Clinic Ms 32900a, Woodbury, MN 55125-4402 | |
(651) 702-5300 | |
(651) 702-5305 |
Full Name | Dr Jennifer Mh Mccormack |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8450 Seasons Parkway, Woodbury, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083889414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 52494 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Mh Mccormack, MD 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: () - | Dr Jennifer Mh Mccormack, MD 8450 Seasons Parkway, Healthpartners Woodbury Clinic Ms 32900a, Woodbury, MN 55125-4402 Ph: (651) 702-5300 |
Dr. Bridgette Marie Suri, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300 | |
Alicia Marie Osterman Kemp, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300 Fax: 651-702-5305 | |
Michele L Peterson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1875 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-6700 Fax: 651-232-6711 | |
Chelsey Prall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300 Fax: 651-702-5305 | |
Sara K Sweetser, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7803 Afton Rd, Woodbury, MN 55125 Phone: 651-738-0470 Fax: 651-738-8915 | |
Margaret Kelly Tierney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9680 Tamarack Rd Ste 100, Woodbury, MN 55125 Phone: 651-738-0470 |