| Dr Jamie Ann Johannes, DO | |
|
200 E Prince St, Lake Crystal, MN 56055-2043 | |
| (952) 200-5784 | |
| Not Available |
| Full Name | Dr Jamie Ann Johannes |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 200 E Prince St, Lake Crystal, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407021637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 51951 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ecumen Home Care-pathstone | Mankato, MN | Home health agency |
| Mayo Clinic Health System - St James | St james, MN | Hospital |
| Mayo Clinic Health System - Mankato | Mankato, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southwest Minnesota Region | 4688585771 | 605 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Entity Name | Mayo Clinic Health System-st James |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023177730 PECOS PAC ID: 9537170352 Enrollment ID: O20060509000021 |
| Entity Name | Mayo Clinic Health System-st James |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1639198732 PECOS PAC ID: 9537170352 Enrollment ID: O20080108000344 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jamie Ann Johannes, DO 200 E Prince St, Lake Crystal, MN 56055-2043 Ph: (507) 726-6966 | Dr Jamie Ann Johannes, DO 200 E Prince St, Lake Crystal, MN 56055-2043 Ph: (952) 200-5784 |
Kirk M Odden, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 S Murphy St, Lake Crystal, MN 56055 Phone: 507-726-2136 |