Maricia J Pronk (NPI# 1194122713, PAC ID# 9335465715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194122713 |
| PAC ID by PECOS | 9335465715 |
| Professional Enrollment ID | I20150302001138 |
| Full Name | Maricia J Pronk |
| Organization Legal Name | PIPESTONE COUNTY MEDICAL CENTER |
| Address |
120 N Sherman Ave Jasper MN 56144-1114 |
| Phone Number | 5073483071 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0840109682 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241374 | PIPESTONE COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 120 N Sherman Ave, Jasper, MN 56144-1114 | 5073483071 | PIPESTONE COUNTY MEDICAL CENTER |
| 916 4th Ave Sw, Pipestone, MN 56164-1890 | PIPESTONE COUNTY MEDICAL CENTER | |
| 916 Sw 4th Ave, Pipestone, MN 56164-1890 | 5078255811 | PIPESTONE COUNTY MEDICAL CENTER |
| Organization Legal Name | PIPESTONE COUNTY MEDICAL CENTER |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi L Scott | Obstetrics/gynecology | Pipestone County Medical Center | 916 Sw 4th Ave, Pipestone, MN 56164-1890 |
| Jillian Rae Nedved | Physician Assistant | Pipestone County Medical Center | 916 Sw 4th Ave, Pipestone, MN 56164-1890 |
| Nicholas J Harms | General Surgery | Pipestone County Medical Center | 916 4th Ave Sw, Pipestone, MN 56164-1890 |
| Michael L Lastine | Family Medicine | Pipestone County Medical Center | 916 4th Ave Sw, Pipestone, MN 56164-1890 |
| Frederick K Ness | Family Medicine | Pipestone County Medical Center | 916 4th Ave Sw, Pipestone, MN 56164-1890 |
| Myles Zephier | Family Medicine | Pipestone County Medical Center | 916 Sw 4th Ave, Pipestone, MN 56164-1890 |
| Daniel R Woldt | Physician Assistant | Pipestone County Medical Center | 916 Sw 4th Ave, Pipestone, MN 56164-1890 |
| Sean P Mcgrann | Internal Medicine | Pipestone County Medical Center | 916 4th Ave Sw, Pipestone, MN 56164-1890 |
| Larry D Christensen | Family Medicine | Pipestone County Medical Center | 916 Sw 4th Ave, Pipestone, MN 56164-1890 |
| Rachelle D Vandegriend | Nurse Practitioner | Pipestone County Medical Center | 916 Sw 4th Ave, Pipestone, MN 56164-1890 |
| Street Address |
120 N SHERMAN AVE |
| City | JASPER |
| State | MN |
| Zip | 56144-1114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi M Thoreson | Physician Assistant | Pipestone County Medical Center | 120 N Sherman Ave, Jasper, MN 56144-1114 |
| City | JASPER |
| Zip Code | 56144 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JASPER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Maricia J Pronk.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.