| Jeanine Caroline Shah, MD | |
|
3033 Campus Dr Ste W225, Plymouth, MN 55441-2752 | |
| (415) 504-3838 | |
| (415) 504-1367 |
| Full Name | Jeanine Caroline Shah |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 3033 Campus Dr Ste W225, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518287812 | NPI | - | NPPES |
| Entity Name | Pcc Community Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871516799 PECOS PAC ID: 1557270139 Enrollment ID: O20040206000415 |
| Entity Name | Primecare Community Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558532739 PECOS PAC ID: 6204722077 Enrollment ID: O20040227000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanine Caroline Shah, MD 3033 Campus Dr Ste W225, Plymouth, MN 55441-2752 Ph: (415) 504-3838 | Jeanine Caroline Shah, MD 3033 Campus Dr Ste W225, Plymouth, MN 55441-2752 Ph: (415) 504-3838 |
Melanie A Hoiland, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1495 Hwy 101 N, Plymouth, MN 55447 Phone: 763-476-6776 | |
Eric Michael Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2805 Campus Dr Ste 115, Plymouth, MN 55441 Phone: 763-577-7800 Fax: 763-577-7855 | |
Dr. Shelly L Anderson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1495 Hwy 101 North, Plymouth, MN 55447 Phone: 763-476-6776 | |
Mr. Mancel Talcott Mitchell Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15655 37th Ave N Ste 100, Plymouth, MN 55446 Phone: 763-587-7900 Fax: 763-587-7701 | |
Lawrence Gale Richmond, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4155 County Road 101 N, Plymouth, MN 55446 Phone: 952-993-8900 | |
Christine S Chang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12805 Highway 55, Suite 111, Plymouth, MN 55441 Phone: 763-577-2060 Fax: 763-577-2099 | |
David S. Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Campus Dr, Suite 400, Plymouth, MN 55441 Phone: 763-577-7400 |