| Dr Kevin Jeffrey Mahoney, DPM | |
|
300 S Bruce St, Marshall, MN 56258-1934 | |
| (507) 537-9007 | |
| (507) 537-2734 |
| Full Name | Dr Kevin Jeffrey Mahoney |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 12 Years |
| Location | 300 S Bruce St, Marshall, 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 |
|---|---|---|---|
| 1912344151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 943 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Marshall Regional Medical Ctr | Marshall, MN | Hospital |
| Avera Granite Falls | Granite falls, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Marshall | 5799695227 | 78 |
| Provider Name | Avera Marshall |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Provider Name | County Of Murray |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679565287 PECOS PAC ID: 7810806064 Enrollment ID: O20040211000401 |
| Provider Name | Avera Tyler |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801840517 PECOS PAC ID: 9638088537 Enrollment ID: O20170630001868 |
| Provider Name | Avera Granite Falls |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1700429610 PECOS PAC ID: 1456784560 Enrollment ID: O20191204000103 |
| Provider Name | Avera Granite Falls |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700429644 PECOS PAC ID: 1456784560 Enrollment ID: O20200106000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Jeffrey Mahoney, DPM 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 537-9007 | Dr Kevin Jeffrey Mahoney, DPM 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 537-9007 |
Michael B Debrule Dpm, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 301 N 3rd St, Marshall, MN 56258 Phone: 507-532-4676 Fax: 507-929-1041 |