Jacquelyn Faith Mirr, MD in Woodbury, MN - Medicare Obstetrics & Gynecology

Jacquelyn Faith Mirr, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Woodbury, Minnesota. Her current practice location is 1687 Woodlane Dr Ste And102, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 600-3035.

Jacquelyn Faith Mirr is licensed to practice in Minnesota (license number 74576) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679132989.

Contact Information

	Jacquelyn Faith Mirr, MD
	1687 Woodlane Dr Ste And102, Woodbury, MN 55125-3045
	(651) 600-3035
	Not Available

Physician's Profile

Full Name	Jacquelyn Faith Mirr
Gender	Female
Speciality	Obstetrics & Gynecology
Location	1687 Woodlane Dr Ste And102, Woodbury, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679132989
Provider Enumeration Date: 06/10/2019
Last Update Date: 09/29/2023

Medicare PECOS Information:

PECOS PAC ID: 9537495635
Enrollment ID: I20190726002709

Medical Identifiers

Medical identifiers for Jacquelyn Faith Mirr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679132989	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	74576 (Minnesota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Faith Mirr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacquelyn Faith Mirr, MD 1687 Woodlane Dr Ste 101&102, Woodbury, MN 55125-3045 Ph: (651) 600-3035	Jacquelyn Faith Mirr, MD 1687 Woodlane Dr Ste And102, Woodbury, MN 55125-3045 Ph: (651) 600-3035

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Obstetrics & Gynecology Doctors in Woodbury, MN

Jessica Ann Thomes Pepin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd Ste 110, Woodbury, MN 55125 Phone: 651-735-7414 Fax: 651-735-1827
Melvin Ashford, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10731 Hawthorn Trl, Woodbury, MN 55129 Phone: 651-253-4089
Ruby Leigh Russell, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300
Dr. Amy Jane Engebretson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1875 Woodwinds Dr, Suite 110, Woodbury, MN 55125 Phone: 651-686-6400 Fax: 651-714-1264
Wanda P. Adefris, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1875 Woodwinds Dr, Suite 110, Woodbury, MN 55125 Phone: 651-686-6400 Fax: 651-714-1264
Jennifer Anne Hagen, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300
Barbara C. Toppin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1875 Woodwinds Drive, Suite 110, Woodbury, MN 55125 Phone: 651-686-6400 Fax: 651-714-1264

Jacquelyn Faith Mirr, MD - Medicare Obstetrics & Gynecology in Woodbury, MN