| Mark E Johnson, MD | |
|
1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | |
| (320) 252-5131 | |
| (320) 255-5714 |
| Full Name | Mark E Johnson |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 43 Years |
| Location | 1200 Sixth Ave N, St Cloud, 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 |
|---|---|---|---|
| 1568454502 | NPI | - | NPPES |
| 600885 | Other | ARAZ GROUP AMERICAS PPO | |
| HP25456 | Other | HEALTH PARTNERS | |
| 110104487 | Other | RR MEDICARE | |
| 110904 | Other | U CARE | |
| 2114001 | Other | FIRST HEALTH PLAN | |
| 6D71JO | Other | BLUE CROSS BLUE SHIELD | |
| 986014 | Other | PREFERRED ONE | |
| 2529937 | Other | MEDICA HEALTH PLANS | |
| 686002800 | Medicaid | MN | |
| 686002800 | Other | MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 33783 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Tri County Hospital | Wadena, MN | Hospital |
| St Gabriels Hospital | Little falls, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 701 |
| Astera Health | 2961395272 | 90 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Astera Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134305162 PECOS PAC ID: 2961395272 Enrollment ID: O20040202001082 |
| Entity Name | Mille Lacs Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548212699 PECOS PAC ID: 4789577834 Enrollment ID: O20040204000052 |
| Entity Name | Astera Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477545333 PECOS PAC ID: 2961395272 Enrollment ID: O20060504000722 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
| Entity Name | Centracare Health - Benson Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326757154 PECOS PAC ID: 1850761685 Enrollment ID: O20230203001165 |
| Entity Name | Centracare Health - Benson Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326757154 PECOS PAC ID: 1850761685 Enrollment ID: O20230411000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Johnson, MD 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5131 | Mark E Johnson, MD 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5131 |
Viorel Gheorghe, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1900 Centra Care Circle, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2146 | |
Dr. David G Benditt, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5131 | |
Alexander J Schad, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 Phone: 320-252-5731 | |
Wesley Leland Lindquist, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Christopher Bruce Miller, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1406 Sixth Avenue North, St Cloud, MN 56303 Phone: 320-229-4901 Fax: 320-229-5160 | |
Dr. Jessie Lee Kerns Roske, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-251-2700 | |
Paul L Marek, MD, FHM Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-240-2118 |