Mark Westholder, | |
1415 Saint Francis Ave, Shakopee, MN 55379-3374 | |
(952) 993-7800 | |
Not Available |
Full Name | Mark Westholder |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 1415 Saint Francis Ave, Shakopee, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023095775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 40836 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
St Francis Regional Medical Center | Shakopee, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Mark Westholder, 3800 Park Nicollet Blvd, Credentialing, Minneapolis, MN 55416-2527 Ph: () - | Mark Westholder, 1415 Saint Francis Ave, Shakopee, MN 55379-3374 Ph: (952) 993-7800 |
Kristin A Witte, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 | |
Anthony Kohlenberg, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4360 12th Ave E, Shakopee, MN 55379 Phone: 651-968-5300 Fax: 651-646-0205 | |
Dr. Trevor L Busch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 | |
Nancy M O Connor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379 Phone: 952-428-3535 Fax: 952-428-3599 | |
Jawaher Taher, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 161 Pottok Ln, Shakopee, MN 55379 Phone: 952-393-2229 | |
Robert John Nicholson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379 Phone: 952-428-3535 Fax: 952-428-3599 |