Jenna B Mazour, APRN,CNP | |
1027 Washington Ave, Detroit Lakes, MN 56501-3409 | |
(218) 844-2347 | |
Not Available |
Full Name | Jenna B Mazour |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043661978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 7019 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4772 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
Sanford Medical Center Fargo | Fargo, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Marys Regional Health Center | 2062326820 | 159 |
Catalyst Medical Center Pc | 5395776967 | 9 |
Catalyst Medical Center Pc | 5395776967 | 9 |
Entity Name | St Marys Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
Entity Name | First Care Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073638565 PECOS PAC ID: 3678542842 Enrollment ID: O20040927000035 |
Entity Name | Catalyst Medical Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043378268 PECOS PAC ID: 5395776967 Enrollment ID: O20050830000705 |
Entity Name | St. Croix Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
Mailing Address | Practice Location Address |
---|---|
Jenna B Mazour, APRN,CNP 1702 University Dr S, Fargo, ND 58103-4940 Ph: () - | Jenna B Mazour, APRN,CNP 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 844-2347 |
Erin L Volden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114 | |
Susan K Cariveau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Janell Kjos, FNP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Hope M Mathern, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Phebe Gordon, NPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Christina M Norton, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 |