Mr Tyler K Johnson, PA-C | |
675 Water St, Excelsior, MN 55331-3072 | |
(952) 906-7855 | |
Not Available |
Full Name | Mr Tyler K Johnson |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 8 Years |
Location | 675 Water St, Excelsior, 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 |
---|---|---|---|
1003362914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 085005949 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ridgeview Medical Center | Waconia, MN | Hospital |
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ridgeview Medical Center | 9234041997 | 175 |
Mailing Address | Practice Location Address |
---|---|
Mr Tyler K Johnson, PA-C 676 N Saint Clair St, Suite 1600, Chicago, IL 60611-2927 Ph: () - | Mr Tyler K Johnson, PA-C 675 Water St, Excelsior, MN 55331-3072 Ph: (952) 906-7855 |
Gina Orourke Peschel, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 Water St, Excelsior, MN 55331 Phone: 952-906-7855 Fax: 952-470-4523 | |
Elizabeth N Boyum, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23505 Smithtown Rd Ste 120, Excelsior, MN 55331 Phone: 612-486-4200 |