| John W Meccia, MD | |
|
490 S Maple St, Suite 205, Waconia, MN 55387-1760 | |
| (952) 925-5626 | |
| Not Available |
| Full Name | John W Meccia |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 35 Years |
| Location | 490 S Maple St, Waconia, 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 |
|---|---|---|---|
| 1912015942 | NPI | - | NPPES |
| 391324400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0901X | Otolaryngology - Otology & Neurotology | 38257 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ridgeview Medical Center | Waconia, MN | Hospital |
| Glencoe Regional Health Services | Glencoe, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ridgeview Medical Center | 9234041997 | 298 |
| Entity Name | Ridgeview Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
| Entity Name | Glencoe Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20031119000252 |
| Entity Name | Glencoe Regional Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20060504000699 |
| Mailing Address | Practice Location Address |
|---|---|
| John W Meccia, MD 490 S Maple St, Suite 205, Waconia, MN 55387-1760 Ph: (952) 925-5626 | John W Meccia, MD 490 S Maple St, Suite 205, Waconia, MN 55387-1760 Ph: (952) 925-5626 |
John W Larsen, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 490 S Maple St, Suite 205, Waconia, MN 55387 Phone: 952-925-5626 Fax: 952-442-2180 | |
Dr. Wade G Swenson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St Ste 40, Waconia, MN 55387 Phone: 952-925-5626 Fax: 952-925-0223 |