Mrs Jaclyn Marie Dewalt, PA-C in Apple Valley, MN

Mrs Jaclyn Marie Dewalt, PA-C is a medicare enrolled "Physician Assistant" in Apple Valley, Minnesota. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Healthpartners Medical Group, Novacare Outpatient Rehabilitation East Inc and her current practice location is 15350 English Ave, Apple Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 431-8500.

Mrs Jaclyn Marie Dewalt is licensed to practice in Minnesota (license number 10346) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912194291.

Contact Information

	Mrs Jaclyn Marie Dewalt, PA-C
	15350 English Ave, Apple Valley, MN 55124-6252
	(952) 431-8500
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jaclyn Marie Dewalt
Gender	Female
Speciality	Physician Assistant
Experience	17 Years
Location	15350 English Ave, Apple Valley, 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.

Medical Education and Training:

Mrs Jaclyn Marie Dewalt graduated from nursing school in 2007

NPI Data:

NPI Number: 1912194291
Provider Enumeration Date: 10/01/2007
Last Update Date: 10/14/2024

Medicare PECOS Information:

PECOS PAC ID: 3577646033
Enrollment ID: I20080207000368

Medical Identifiers

Medical identifiers for Mrs Jaclyn Marie Dewalt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912194291	NPI	-	NPPES
475488000	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10346 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Regions Hospital	Saint paul, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthpartners Medical Group	1759293954	1429
Novacare Outpatient Rehabilitation East Inc	3678480290	666

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jaclyn Marie Dewalt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jaclyn Marie Dewalt, PA-C 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Mrs Jaclyn Marie Dewalt, PA-C 15350 English Ave, Apple Valley, MN 55124-6252 Ph: (952) 431-8500

Reviews and Comments

Physician Assistant Nurses in Apple Valley, MN

Kayla Mae Holm, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124 Phone: 952-997-4100
John Boettger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15350 English Ave, Apple Valley, MN 55124 Phone: 952-431-8500
Andrea Rae Petersen, MPH, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 651-227-9141
Jillian Johannes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 651-241-3779
Mrs. Shelby Ann Oswald, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 651-241-3779
Daniel Joseph Lunsford Durbin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7300 147th St W Ste 204, Apple Valley, MN 55124 Phone: 952-997-3020
Ronneil Aviles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15350 English Ave, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966

Mrs Jaclyn Marie Dewalt, PA-C - Medicare Physician Assistant in Apple Valley, MN