| Dr Matthew Sander Johnson, MD | |
|
3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | |
| (763) 421-7420 | |
| (763) 592-8453 |
| Full Name | Dr Matthew Sander Johnson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 18 Years |
| Location | 3777 Coon Rapids Blvd Nw, Coon Rapids, 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 |
|---|---|---|---|
| 1558593004 | NPI | - | NPPES |
| 20373 | Other | MN | RESIDENCY PERMIT NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 20373 (Minnesota) | Primary |
| 207W00000X | Ophthalmology | 28337 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Sander Johnson, MD 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 Ph: (763) 421-7420 | Dr Matthew Sander Johnson, MD 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 Ph: (763) 421-7420 |
Dr. James Adair Cameron, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 Phone: 763-421-7420 Fax: 763-421-0730 | |
Dr. George Randall Wandling Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3777 Coon Rapids Blvd Nw # 100, Coon Rapids, MN 55433 Phone: 763-421-7420 | |
Scott Peterson, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3777 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433 Phone: 763-421-7420 Fax: 763-421-0730 | |
Dr. Alfred Oscar Steldt, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3790 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-421-7420 Fax: 763-421-0730 | |
Dr. Patrick Kelly Johnson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3790 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-421-7420 Fax: 763-421-0730 | |
Dr. David V Folden, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 Phone: 763-421-7420 Fax: 763-421-0730 |