| Dr Kirsten Kesseboehmer Johnson, MD | |
|
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
| (952) 993-3123 | |
| (952) 993-3286 |
| Full Name | Dr Kirsten Kesseboehmer Johnson |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 12 Years |
| Location | 3800 Park Nicollet Blvd, St Louis Park, 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 |
|---|---|---|---|
| 1184966152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 62008 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kirsten Kesseboehmer Johnson, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Dr Kirsten Kesseboehmer Johnson, MD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-3123 |
John M Worley, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6490 Excelsior Blvd, Ste E500, St Louis Park, MN 55426 Phone: 952-993-7342 | |
Jongsok Pak, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3307 | |
Dr. Nancy M Collins, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3307 | |
Dr. Sotirios Andreas Parashos, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-3230 Fax: 952-993-1748 | |
Kimberly A Fitch, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3307 | |
John G Davenport, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6490 Excelsior Blvd, Suite E500, St Louis Park, MN 55426 Phone: 952-993-7342 |