David Wendell Johnson, MD | |
401 Phalen Boulevard, Mail Stop 41102e, St Paul, MN 55101-5302 | |
(651) 254-7500 | |
(651) 254-7557 |
Full Name | David Wendell Johnson |
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Gender | Male |
Speciality | Ophthalmology |
Experience | 36 Years |
Location | 401 Phalen Boulevard, St Paul, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811964117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 32520 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regions Hospital | Saint paul, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpartners Medical Group | 1759293954 | 1429 |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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David Wendell Johnson, MD 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: () - | David Wendell Johnson, MD 401 Phalen Boulevard, Mail Stop 41102e, St Paul, MN 55101-5302 Ph: (651) 254-7500 |
Jerry L Kobrin, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 401 Phalen Boulevard, Mail Stop 41102e, St Paul, MN 55101 Phone: 651-254-7500 Fax: 651-254-7557 | |
Anthony J Pfaff, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Mail Stop 41102e, St Paul, MN 55101 Phone: 651-254-7500 Fax: 651-254-7557 | |
Dr. Martin G Bruhl, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 393 North Dunlap Street Ste 725, Lexington Eye Associates Pa, St Paul, MN 55104 Phone: 651-646-7419 Fax: 651-646-7419 | |
John Daniel Nelson, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 401 Phalen Blvd, Mail Stop 41102e, St Paul, MN 55101 Phone: 651-254-7500 Fax: 651-254-7557 | |
Leslie A Kopietz, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 401 Phalen Blvd, Mail Stop 41102e, St Paul, MN 55101 Phone: 651-254-7500 Fax: 651-254-7557 |