| Dr Bradley L Houston, MD | |
|
701 Hewitt Blvd, Red Wing, MN 55066-2848 | |
| (651) 267-5000 | |
| Not Available |
| Full Name | Dr Bradley L Houston |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 701 Hewitt Blvd, Red Wing, 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 |
|---|---|---|---|
| 1275529240 | NPI | - | NPPES |
| 036101327 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD60758090 (Washington) | Secondary |
| 207Q00000X | Family Medicine | 72960 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Red Wing | Red wing, MN | Hospital |
| Mayo Clinic Health System - Cannon Falls | Cannon falls, MN | Hospital |
| Mayo Clinic Health System - Lake City | Lake city, MN | Hospital |
| Mayo Clinic Hospital Rochester | Rochester, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southeast Minnesota Region | 4385556703 | 522 |
| Entity Name | Mayo Clinic Health System-lake City |
|---|---|
| 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 |
|---|---|
| Dr Bradley L Houston, MD Po Box 850, Port Angeles, WA 98362-0146 Ph: (360) 565-9237 | Dr Bradley L Houston, MD 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (651) 267-5000 |
Megan Lynn Kindom, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Carrie Wojick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Eric C Mollgaard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Dr. Said Haider Al Tawil, M.D., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
John L Goeppinger, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Fairview Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Thomas Joseph Witt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 Fax: 651-345-1151 |