| Mr Justin T Young, MD | |
|
249 5th St E, Tracy, MN 56175-1536 | |
| (507) 629-8400 | |
| Not Available |
| Full Name | Mr Justin T Young |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 249 5th St E, Tracy, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043508492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036136652 (Illinois) | Primary |
| Entity Name | Freeport Regional Health Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | Iroquois Memorial Hospital And Resident Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629003470 PECOS PAC ID: 4385551258 Enrollment ID: O20040517000306 |
| Entity Name | Midwest Express Care 2 Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548692890 PECOS PAC ID: 0547495467 Enrollment ID: O20131031001375 |
| Entity Name | Statera Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin T Young, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Mr Justin T Young, MD 249 5th St E, Tracy, MN 56175-1536 Ph: (507) 629-8400 |