Andrew J Johnson, DPM | |
1245 S Washington Ave, Detroit Lakes, MN 56501-3905 | |
(218) 846-2000 | |
(218) 846-2114 |
Full Name | Andrew J Johnson |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 21 Years |
Location | 1245 S Washington Ave, Detroit Lakes, 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 |
---|---|---|---|
1649281361 | NPI | - | NPPES |
8436453 | Medicaid | WA | |
P00235433 | Other | WA | RAILROAD |
0207841 | Other | WA | L & I |
8905370 | Other | WA | CRIME VICTIMS |
0196122 | Other | WA | L & I |
8941204 | Other | WA | CRIME VICTIMS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 801 (Minnesota) | Secondary |
213E00000X | Podiatrist | PO00000770 (Washington) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 801 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Perham Health | Perham, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Medical Center Fargo | 8426967803 | 1085 |
Provider Name | Sanford Clinic North |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Provider Name | Sanford Medical Center Fargo |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
Mailing Address | Practice Location Address |
---|---|
Andrew J Johnson, DPM 1245 S Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000 | Andrew J Johnson, DPM 1245 S Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000 |
Andrew Moen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Dr. Benjy Olsen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 188-475-6112 |