Michael Randall Johnson, MD | |
4040 Radio Dr, Woodbury, MN 55129-3237 | |
(651) 439-8807 | |
(651) 439-0232 |
Full Name | Michael Randall Johnson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 19 Years |
Location | 4040 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 |
---|---|---|---|
1972784056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 53585 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mayo Clinic Health System In Red Wing | Red wing, MN | Hospital |
Mayo Clinic Health System - Lake City | Lake city, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mayo Clinic Health System-southeast Minnesota Region | 4385556703 | 560 |
Entity Name | Mayo Clinic Health System-lake City |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095 |
Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
Entity Name | Mayo Clinic Health System-lake City |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1538113022 PECOS PAC ID: 1951213487 Enrollment ID: O20070711000490 |
Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1063435410 PECOS PAC ID: 4385556703 Enrollment ID: O20171011003946 |
Mailing Address | Practice Location Address |
---|---|
Michael Randall Johnson, MD 3500 American Blvd W Ste 300, Bloomington, MN 55431-4442 Ph: (952) 512-5600 | Michael Randall Johnson, MD 4040 Radio Dr, Woodbury, MN 55129-3237 Ph: (651) 439-8807 |
Dr. Nathan Robert Wanderman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4040 Radio Dr, Woodbury, MN 55129 Phone: 651-439-8807 Fax: 651-439-0232 | |
Larry S Stern, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2090 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-968-5801 Fax: 651-968-5899 | |
Paul T Yellin, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2090 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-968-5801 Fax: 651-968-5899 | |
Mark E Holm, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2090 Woodwinds Dr, Suite 307, Woodbury, MN 55125 Phone: 651-968-5801 Fax: 651-968-5899 | |
Michael James Priola, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 215 Radio Drive Suite 100, Woodbury, MN 55125 Phone: 612-596-6100 Fax: 612-339-7634 | |
Dr. Chad James Griffith, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 155 Radio Dr, Woodbury, MN 55125 Phone: 952-831-8742 | |
Trevor Charles Wahlquist, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125 Phone: 651-968-5201 |