Individual
JEANNINE M MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12750 ST FRANCIS DR, CROWN POINT, IN 46307-0264
(219) 757-6331
(219) 757-6481
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02001317A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088455
ANTHEM BC/BS
IN
05
—
100147450A
—
IN
01
—
160016750
RAIL ROAD MEDICARE
IN
Enumeration date
08/16/2006
Last updated
01/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us