Mr Justin T Young, MD | |
249 5th St E, Tracy, MN 56175-1536 | |
(507) 629-8400 | |
Not Available |
Full Name | Mr Justin T Young |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 249 5th St E, Tracy, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043508492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036136652 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Entity Name | Iroquois Memorial Hospital And Resident Home |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629003470 PECOS PAC ID: 4385551258 Enrollment ID: O20040517000306 |
Entity Name | Midwest Express Care 2 Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548692890 PECOS PAC ID: 0547495467 Enrollment ID: O20131031001375 |
Entity Name | Statera Health Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
Mailing Address | Practice Location Address |
---|---|
Mr Justin T Young, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Mr Justin T Young, MD 249 5th St E, Tracy, MN 56175-1536 Ph: (507) 629-8400 |