Mark K Yamaguchi, MD | |
155 Radio Dr, Woodbury, MN 55125-2619 | |
(952) 831-8742 | |
(952) 977-3459 |
Full Name | Mark K Yamaguchi |
---|---|
Gender | Male |
Speciality | Interventional Pain Management |
Experience | 21 Years |
Location | 155 Radio Dr, Woodbury, 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 |
---|---|---|---|
1033313580 | NPI | - | NPPES |
1033313580 | Medicaid | WI | |
000000614543 | Other | IN | ANTHEM PROVIDER NUMBER |
1033313580 | Medicaid | MN | |
200863980 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 52910 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hudson Hospital | Hudson, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpartners Medical Group | 1759293954 | 1429 |
Tria Orthopaedic Center Llc | 3173570561 | 362 |
Healthpartners Medical Group | 1759293954 | 1429 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Advanced Pain Management Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770506669 PECOS PAC ID: 1456257633 Enrollment ID: O20100714000576 |
Entity Name | Tria Orthopaedic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
Mailing Address | Practice Location Address |
---|---|
Mark K Yamaguchi, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Mark K Yamaguchi, MD 155 Radio Dr, Woodbury, MN 55125-2619 Ph: (952) 831-8742 |
Dr. Andrew M Clary, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125 Phone: 651-968-5200 |