John J Pieniazek, MD | |
Hwy 1, Red Lake, MN 56671 | |
(218) 679-3912 | |
(218) 679-0181 |
Full Name | John J Pieniazek |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | Hwy 1, Red Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740360163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 336-072015 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Mcdonough County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669420766 PECOS PAC ID: 0446140180 Enrollment ID: O20040611000228 |
Entity Name | Osf Healthcare System |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1871919381 PECOS PAC ID: 4284541806 Enrollment ID: O20140425000229 |
Entity Name | Carle Eureka Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1184644023 PECOS PAC ID: 3870914393 Enrollment ID: O20200609000028 |
Entity Name | Carle West Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
---|---|
John J Pieniazek, MD Box 497, Indian Health Service, Red Lake, MN 56671 Ph: (218) 679-3912 | John J Pieniazek, MD Hwy 1, Red Lake, MN 56671 Ph: (218) 679-3912 |
Dr. Mark Douglas Cunningham, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Highway 1, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0135 | |
Paul M Ditmanson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Hwy 1 Box 497, Phs Indian Hospital, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0181 |