Janelle L Johnson, MD | |
1900 Centracare Circle, St Cloud, MN 56303 | |
(320) 654-3630 | |
(320) 654-3657 |
Full Name | Janelle L Johnson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1900 Centracare Circle, St Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902897853 | NPI | - | NPPES |
142738 | Other | U CARE | |
1679007 | Other | ARAZ GRP AMERICA'S PPO | |
318J2JO | Other | BLUE CROSS BLUE SHIELD | |
HP35801 | Other | HEALTH PARTNERS | |
1202293 | Other | MEDICA HEALTH PLANS | |
1032225 | Other | PREFERRED ONE | |
2130072 | Other | FIRST HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 45236 (Minnesota) | Primary |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Mailing Address | Practice Location Address |
---|---|
Janelle L Johnson, MD 1900 Centracare Circle, St Cloud, MN 56303 Ph: (320) 654-3630 | Janelle L Johnson, MD 1900 Centracare Circle, St Cloud, MN 56303 Ph: (320) 654-3630 |
Jennifer J Rogan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303 Phone: 320-654-3630 | |
Oluade A. Ajayi, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5731 | |
Tracey B Thompson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 Phone: 320-240-2832 | |
Logan Andrew Newman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7115 | |
Edward B Martin - Chafee, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-240-2118 | |
Dr. Marla J Moore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5731 Fax: 719-447-8987 | |
Kelly B Fandel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Circle, Centracare Clinic - Womens & Childrens, St Cloud, MN 56303 Phone: 320-654-3630 |