| Jennifer A Prom, PAC | |
|
619 W Central Entrance, Duluth, MN 55811-5448 | |
| (218) 249-4987 | |
| (218) 249-4989 |
| Full Name | Jennifer A Prom |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 619 W Central Entrance, Duluth, 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 |
|---|---|---|---|
| 1215948781 | NPI | - | NPPES |
| 157938000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4215 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 10142 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Hospital Of Duluth | 7113834839 | 366 |
| St Lukes Hospital Of Duluth | 7113834839 | 366 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Prom, PAC 619 W Central Entrance, Duluth, MN 55811-5448 Ph: (218) 249-4987 | Jennifer A Prom, PAC 619 W Central Entrance, Duluth, MN 55811-5448 Ph: (218) 249-4987 |
Lisa M Hebl, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6351 E Superior St, Duluth, MN 55804 Phone: 218-249-4500 Fax: 218-249-4555 | |
Elizabeth M Lafrance, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 W Central Entrance, Duluth, MN 55811 Phone: 218-249-4987 | |
Mr. Brian Anthony Butkus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 E Superior St, Suite L201, Duluth, MN 55802 Phone: 218-249-3057 | |
Kimberly Jean Lakhan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Nathan Ambrose Birno, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Megan Elizabeth Markes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4212 Grand Ave, Duluth, MN 55807 Phone: 218-786-3500 | |
Kevin John Dalpiaz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1012 E 2nd St, Duluth, MN 55805 Phone: 218-249-6360 Fax: 218-249-6370 |