Mary Tahnk-johnson, | |
6490 Excelsior Blvd, Ste W300, St Louis Park, MN 55426-4705 | |
(952) 993-4705 | |
Not Available |
Full Name | Mary Tahnk-johnson |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 36 Years |
Location | 6490 Excelsior Blvd, St Louis Park, Minnesota |
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 |
---|---|---|---|
1548247547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 32922 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Maple Grove Dialysis Of Davita | Maple grove, MN | Dialysis facility |
St Louis Park Dialysis Of Davita | Saint louis park, MN | Dialysis facility |
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Mary Tahnk-johnson, 6465 Wayzata Blvd, Ste 315, Minneapolis, MN 55426-1728 Ph: () - | Mary Tahnk-johnson, 6490 Excelsior Blvd, Ste W300, St Louis Park, MN 55426-4705 Ph: (952) 993-4705 |
Cara Houle, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Janet Grayson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6600 | |
Keith Harmon, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6490 Excelsior Blvd, Suite W300, St Louis Park, MN 55426 Phone: 952-993-3242 | |
Jeffrey J Shultz, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426 Phone: 952-993-3246 Fax: 952-993-3010 | |
Amanda J Calvin, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-3230 | |
Sarah Evert, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3025 | |
Stevie Maxwell, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 |