| Kerriann Mahon, MD | |
|
101 Willmar Ave Sw, Affiliated Community Medical Centers, Willmar, MN 56201 | |
| (320) 231-5000 | |
| (320) 231-5067 |
| Full Name | Kerriann Mahon |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 101 Willmar Ave Sw, Willmar, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144204819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 47040 (Minnesota) | Secondary |
| 208000000X | Pediatrics | 47040 (Minnesota) | Primary |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerriann Mahon, MD 101 Willmar Ave Sw, Affiliated Community Medical Centers, Willmar, MN 56201 Ph: (320) 231-5000 | Kerriann Mahon, MD 101 Willmar Ave Sw, Affiliated Community Medical Centers, Willmar, MN 56201 Ph: (320) 231-5000 |
Dr. Michael J Hodapp, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 | |
Dr. Timothy V Swanson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Acmc, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 | |
Dr. Gulshan K Singh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 Highway 71 Ne, Willmar, MN 56201 Phone: 320-231-5100 Fax: 320-231-5329 | |
Dr. Nancy J Rost, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 | |
Dr. Michael D Bateman, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 | |
Dr. Marie C Schroeder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 | |
Kay L Breen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5079 Fax: 320-231-5067 |