| Mai Lee Chang, PA-C | |
|
1544 Timberlake Rd, Saint Paul, MN 55117-3946 | |
| (651) 558-2191 | |
| Not Available |
| Full Name | Mai Lee Chang |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1544 Timberlake Rd, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114479003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 12128 (Minnesota) | Primary |
| Entity Name | West Side Community Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Mai Lee Chang, PA-C 1544 Timberlake Rd, Saint Paul, MN 55117-3946 Ph: (651) 558-2191 | Mai Lee Chang, PA-C 1544 Timberlake Rd, Saint Paul, MN 55117-3946 Ph: (651) 558-2191 |
Jordan Thaddeus Mahieu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St # Ms 11102f, Saint Paul, MN 55101 Phone: 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 |