| Dr Mary E Mahony, DO | |
|
13980 Northdale Blvd, Rogers, MN 55374-2147 | |
| (763) 428-1920 | |
| (763) 428-3162 |
| Full Name | Dr Mary E Mahony |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 13980 Northdale Blvd, Rogers, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760459259 | NPI | - | NPPES |
| 487479000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 47041 (Minnesota) | Primary |
| Entity Name | Children's Clinic Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447529235 PECOS PAC ID: 5890949192 Enrollment ID: O20130214000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary E Mahony, DO 13980 Northdale Blvd, Rogers, MN 55374-2147 Ph: (763) 428-1920 | Dr Mary E Mahony, DO 13980 Northdale Blvd, Rogers, MN 55374-2147 Ph: (763) 428-1920 |
Dr. Daniel A Albright, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13688 Rogers Dr Ste 230, Rogers, MN 55374 Phone: 952-977-0300 Fax: 952-977-0311 | |
Dr. Naomi C. Palmer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13980 Northdale Blvd, Rogers, MN 55374 Phone: 763-428-1920 Fax: 763-428-3162 | |
Dr. Wade M. Larson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13980 Northdale Blvd, Rogers, MN 55374 Phone: 763-428-1920 Fax: 763-428-3162 | |
Dr. Andrew W. Larson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13980 Northdale Blvd, Rogers, MN 55374 Phone: 763-428-1920 Fax: 763-428-3162 |