Beth A Johnson, MD | |
640 Jackson St, Saint Paul, MN 55101-2502 | |
(651) 254-4786 | |
Not Available |
Full Name | Beth A Johnson |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 24 Years |
Location | 640 Jackson St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235108408 | NPI | - | NPPES |
328043800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 01074599A (Indiana) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 44445 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fairview Southdale Hospital | Edina, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Health Services | 1951213057 | 539 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Healtheast Medical Research Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
---|---|
Beth A Johnson, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Beth A Johnson, MD 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 254-4786 |
Dr. Walter Kenneth Rush Iv, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 275 4th St E, Saint Paul, MN 55101 Phone: 651-389-4690 Fax: 651-389-4691 | |
Mark Leon Willenbring, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 745 Victoria St S, Saint Paul, MN 55102 Phone: 202-379-6736 | |
Dr. Foster Rood Renwick, D.O Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4786 | |
Ellen N Garbo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 45 10th St W, Saint Paul, MN 55102 Phone: 651-232-3640 Fax: 651-232-3632 | |
Betty J Ong, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-325-2121 Fax: 651-325-2122 | |
Dr. Frances S Go, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 360 Sherman St, Suite 100, Saint Paul, MN 55102 Phone: 651-241-5959 | |
Sarah Jane Kottke, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8860 |