Benjamin H Johnson, MD | |
4190 Loberg Ave, Duluth, MN 55811-2652 | |
(218) 249-5700 | |
(218) 249-4666 |
Full Name | Benjamin H Johnson |
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Gender | Male |
Speciality | Family Medicine |
Location | 4190 Loberg Ave, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164428280 | NPI | - | NPPES |
31750700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 30419 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 39802 (Minnesota) | Primary |
Entity Name | St Lukes Hospital Of Duluth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629017793 PECOS PAC ID: 7113834839 Enrollment ID: O20040323000234 |
Mailing Address | Practice Location Address |
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Benjamin H Johnson, MD 4190 Loberg Ave, Duluth, MN 55811-2652 Ph: (218) 249-5700 | Benjamin H Johnson, MD 4190 Loberg Ave, Duluth, MN 55811-2652 Ph: (218) 249-5700 |
Dr. Kylie Elizabeth Kraft, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9122 | |
Steven Peter Phillipson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4621 E Superior St, Duluth, MN 55804 Phone: 218-786-3550 Fax: 218-525-7487 | |
Dr. Jennifer Lynn Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 221-872-3111 Fax: 218-529-9120 | |
Dr. Eric David Boehmer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Joseph Christopher Metzger Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9122 | |
Ms. Kayla Jean Olds, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1414 Woodland Ave, Duluth, MN 55803 Phone: 218-302-1000 | |
Dr. Rachel Marie Wilcox, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9103 |