| Jordan Thaddeus Mahieu, PA-C | |
|
640 Jackson St # Ms 11102f, Saint Paul, MN 55101-2502 | |
| (952) 883-5129 | |
| Not Available |
| Full Name | Jordan Thaddeus Mahieu |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 640 Jackson St # Ms 11102f, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003323502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regions Hospital | Saint paul, MN | Hospital |
| Lakeview Memorial Hospital | Stillwater, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regions Hospital | 3173436755 | 215 |
| Lakeview Memorial Hospital Association, Inc. | 1951210855 | 19 |
| Entity Name | Lakeview Memorial Hospital Association, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821114729 PECOS PAC ID: 1951210855 Enrollment ID: O20031104000543 |
| Entity Name | Regions Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Thaddeus Mahieu, PA-C Po Box 1309, Minneapolis, MN 55440-1309 Ph: Not Available | Jordan Thaddeus Mahieu, PA-C 640 Jackson St # Ms 11102f, Saint Paul, MN 55101-2502 Ph: (952) 883-5129 |
Samantha P Hunt, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3900 Bethel Dr, Saint Paul, MN 55112 Phone: 651-638-6400 |
Ms. Barbara Lynn Peterson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1619 Dayton Ave, Ste 205, Saint Paul, MN 55104 Phone: 651-645-0478 Fax: 651-642-2523 |
Mr. Christopher Lawrence Kaye, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 |
Shaun Sava, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-389-2540 |
Erin Nicole Dehn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4887 Fax: 651-254-1603 |
Kira Elizabeth Oien, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 Fairview Ave N # 145, Saint Paul, MN 55113 Phone: 763-225-9050 |
Tova Elise Lyng, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 952-967-7977 Fax: 651-254-7990 |