Johanna E Wenninger Acosta, MD | |
1200 S Columbia Rd, Grand Forks, ND 58201-4036 | |
(701) 780-5000 | |
Not Available |
Full Name | Johanna E Wenninger Acosta |
---|---|
Gender | Female |
Speciality | Critical Care (intensivists) |
Experience | 15 Years |
Location | 1200 S Columbia Rd, Grand Forks, North Dakota |
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 |
---|---|---|---|
1588952642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125.059416 (Illinois) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | 14008 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Altru Hospital | Grand forks, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Altru Health System | 1355251604 | 520 |
Entity Name | Altru Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
Mailing Address | Practice Location Address |
---|---|
Johanna E Wenninger Acosta, MD 2401 Demers Ave, Grand Forks, ND 58201-4183 Ph: (701) 780-1891 | Johanna E Wenninger Acosta, MD 1200 S Columbia Rd, Grand Forks, ND 58201-4036 Ph: (701) 780-5000 |
Iqbal Masood, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 | |
Dr. Marcin Szember, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 S. Washington St. - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000 | |
Antranik Mangardich, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 | |
Leslie M Klevay, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: Und Box 9037 Ppt, Grand Forks, ND 58201 Phone: 701-777-0000 | |
James Rese Wood, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000 Fax: 612-870-5857 | |
Robert A Thompson, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Daniel J Walsh, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 |