Dr Bradley L Houston, MD | |
701 Hewitt Blvd, Red Wing, MN 55066-2848 | |
(651) 267-5000 | |
Not Available |
Full Name | Dr Bradley L Houston |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 701 Hewitt Blvd, Red Wing, 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 |
---|---|---|---|
1275529240 | NPI | - | NPPES |
036101327 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD60758090 (Washington) | Secondary |
207Q00000X | Family Medicine | 72960 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mayo Clinic Health System In Red Wing | Red wing, MN | Hospital |
Mayo Clinic Health System - Lake City | Lake city, MN | Hospital |
Mayo Clinic Health System - Cannon Falls | Cannon falls, MN | Hospital |
Mayo Clinic Hospital Rochester | Rochester, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mayo Clinic Health System-southeast Minnesota Region | 4385556703 | 560 |
Entity Name | Mayo Clinic Health System-lake City |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095 |
Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
Entity Name | Mayo Clinic Health System-lake City |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1538113022 PECOS PAC ID: 1951213487 Enrollment ID: O20070711000490 |
Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1063435410 PECOS PAC ID: 4385556703 Enrollment ID: O20171011003946 |
Mailing Address | Practice Location Address |
---|---|
Dr Bradley L Houston, MD Po Box 850, Port Angeles, WA 98362-0146 Ph: (360) 565-9237 | Dr Bradley L Houston, MD 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (651) 267-5000 |
Carrie Wojick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Eric C Mollgaard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Dr. Said Haider Al Tawil, M.D., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
John L Goeppinger, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Fairview Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Thomas Joseph Witt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 Fax: 651-345-1151 | |
Anne Enanga Liwonjo, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 |