| Marijo Laurene Botten, DO | |
|
701 Hewitt Blvd, Red Wing, MN 55066-2848 | |
| (651) 267-5000 | |
| Not Available |
| Full Name | Marijo Laurene Botten |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 3 Years |
| Location | 701 Hewitt Blvd, Red Wing, 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 |
|---|---|---|---|
| 1962145995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 74652 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System - Mankato | Mankato, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southwest Minnesota Region | 4688585771 | 605 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Entity Name | Mayo Clinic Health System-fairmont |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124035282 PECOS PAC ID: 4688585771 Enrollment ID: O20171011003939 |
| Mailing Address | Practice Location Address |
|---|---|
| Marijo Laurene Botten, DO Po Box 860912, Minneapolis, MN 55486-0912 Ph: (651) 267-5000 | Marijo Laurene Botten, DO 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (651) 267-5000 |
Megan Lynn Kindom, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Carrie Wojick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Eric C Mollgaard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Dr. Said Haider Al Tawil, M.D., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
John L Goeppinger, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Fairview Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Thomas Joseph Witt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 Fax: 651-345-1151 | |
Dr. Bradley L Houston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 |