Mark E Johnson, MD | |
1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | |
(320) 252-5131 | |
(320) 255-5714 |
Full Name | Mark E Johnson |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 42 Years |
Location | 1200 Sixth Ave N, St Cloud, 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 |
---|---|---|---|
1568454502 | NPI | - | NPPES |
600885 | Other | ARAZ GROUP AMERICAS PPO | |
HP25456 | Other | HEALTH PARTNERS | |
110104487 | Other | RR MEDICARE | |
110904 | Other | U CARE | |
2114001 | Other | FIRST HEALTH PLAN | |
6D71JO | Other | BLUE CROSS BLUE SHIELD | |
986014 | Other | PREFERRED ONE | |
2529937 | Other | MEDICA HEALTH PLANS | |
686002800 | Medicaid | MN | |
686002800 | Other | MEDICAL ASSISTANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 33783 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Cloud Hospital | Saint cloud, MN | Hospital |
Tri County Hospital | Wadena, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Clinic | 2466363395 | 632 |
Astera Health | 2961395272 | 88 |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Astera Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134305162 PECOS PAC ID: 2961395272 Enrollment ID: O20040202001082 |
Entity Name | Mille Lacs Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548212699 PECOS PAC ID: 4789577834 Enrollment ID: O20040204000052 |
Entity Name | Astera Health |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1477545333 PECOS PAC ID: 2961395272 Enrollment ID: O20060504000722 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
Entity Name | Centracare Health - Benson Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1326757154 PECOS PAC ID: 1850761685 Enrollment ID: O20230203001165 |
Entity Name | Centracare Health - Benson Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326757154 PECOS PAC ID: 1850761685 Enrollment ID: O20230411000460 |
Mailing Address | Practice Location Address |
---|---|
Mark E Johnson, MD 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5131 | Mark E Johnson, MD 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5131 |
Viorel Gheorghe, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1900 Centra Care Circle, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2146 | |
Dr. David G Benditt, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5131 | |
Alexander J Schad, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 Phone: 320-252-5731 | |
Wesley Leland Lindquist, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Christopher Bruce Miller, MD Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 1406 Sixth Avenue North, St Cloud, MN 56303 Phone: 320-229-4901 Fax: 320-229-5160 | |
Dr. Jessie Lee Kerns Roske, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-251-2700 | |
Paul L Marek, MD, FHM Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-240-2118 |