| Dr Jonathan W Mellema, MD | |
|
1801 19th Ave Sw, Willmar, MN 56201-4946 | |
| (320) 231-3277 | |
| (320) 214-5758 |
| Full Name | Dr Jonathan W Mellema |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 26 Years |
| Location | 1801 19th Ave Sw, Willmar, 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 |
|---|---|---|---|
| 1083680458 | NPI | - | NPPES |
| 312128300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 47540 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Marshall Regional Medical Ctr | Marshall, MN | Hospital |
| Carris Health Llc | Willmar, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Janning Ent Center, Llc | 5496788077 | 4 |
| Entity Name | Lac Qui Parle Clinic Of Madison Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144266156 PECOS PAC ID: 5799727707 Enrollment ID: O20050531000484 |
| Entity Name | Janning Ent Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952332629 PECOS PAC ID: 5496788077 Enrollment ID: O20050914000650 |
| Entity Name | Family Surgery Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1831200120 PECOS PAC ID: 8022043785 Enrollment ID: O20050930000467 |
| Entity Name | Appleton Area Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1578590626 PECOS PAC ID: 7618952565 Enrollment ID: O20060504000767 |
| Entity Name | Appleton Area Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126673 PECOS PAC ID: 7618952565 Enrollment ID: O20060818000114 |
| Entity Name | Appleton Area Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1649333923 PECOS PAC ID: 7618952565 Enrollment ID: O20080208000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan W Mellema, MD 1801 19th Ave Sw, Willmar, MN 56201-4946 Ph: (320) 231-3277 | Dr Jonathan W Mellema, MD 1801 19th Ave Sw, Willmar, MN 56201-4946 Ph: (320) 231-3277 |
Dr. Martin Heinz Janning, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1801 19th Ave Sw, Willmar, MN 56201 Phone: 320-231-3277 Fax: 320-214-5758 | |
Dr. Jennifer A Pesola, DO Otolaryngology Medicare: Medicare Enrolled Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 |