| Kathryn G Justesen, MD | |
|
5502 W Broadway Ave, Crystal, MN 55428-3508 | |
| (763) 504-6500 | |
| (763) 504-6544 |
| Full Name | Kathryn G Justesen |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 5502 W Broadway Ave, 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 |
|---|---|---|---|
| 1598756041 | NPI | - | NPPES |
| 762695900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 42665 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Memorial Health | Robbinsdale, MN | Hospital |
| Maple Grove Hospital | Maple grove, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Minnesota Physicians | 9830001189 | 134 |
| Entity Name | University Of Minnesota Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
| Entity Name | Northwest Family Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548366867 PECOS PAC ID: 0042102956 Enrollment ID: O20040326000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn G Justesen, MD 5502 W Broadway Ave, Crystal, MN 55428-3508 Ph: (763) 504-6500 | Kathryn G Justesen, MD 5502 W Broadway Ave, Crystal, MN 55428-3508 Ph: (763) 504-6500 |
Dr. Gene Wayne Velasco, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3501 Douglas Dr N, Crystal, MN 55422 Phone: 763-535-9601 Fax: 763-535-5601 | |
Joyce L Anderson, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5502 W Broadway Ave, Crystal, MN 55428 Phone: 763-287-6500 Fax: 763-287-6544 | |
Ofer Barniv, PAC Family Medicine Medicare: Medicare Enrolled Practice Location: 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429 Phone: 763-504-6500 | |
Dr. Dawn M Blomgren I, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5502 W Broadway Ave, Suite 200, Crystal, MN 55428 Phone: 763-287-6500 Fax: 763-287-6544 | |
Gretchen Soberay Betts, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5502 W Broadway Ave, Northwest Family Physicians, Crystal, MN 55428 Phone: 763-504-6500 | |
Ruby Waiyee Tam, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429 Phone: 763-504-6500 | |
Dr. Christine Irene Traxler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 888-290-1209 Fax: 833-973-3527 |