| Paul L Johnson, MD | |
|
1025 Marsh St, Mankato, MN 56001-4752 | |
| (507) 345-2623 | |
| (507) 389-4685 |
| Full Name | Paul L Johnson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1025 Marsh St, Mankato, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003827908 | NPI | - | NPPES |
| 123607 | Other | UCARE | |
| 967551028364 | Other | PREFERRED ONE | |
| HP57496 | Other | HEALTH PARTNERS | |
| 05F00JO | Other | MN | BLUE CROSS BLUE SHIELD |
| 2000870 | Other | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 41487 (Minnesota) | Primary |
| Entity Name | Mankato Surgical Center, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1720161615 PECOS PAC ID: 2163564659 Enrollment ID: O20100121000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul L Johnson, MD 20201 586th Ln, Mankato, MN 56001-7893 Ph: () - | Paul L Johnson, MD 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 345-2623 |
Alyson Leigh Jasper, DNAP, APRN, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
David J Egli, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-345-2623 Fax: 507-389-4685 | |
David J Plevak, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 Fax: 507-284-0120 | |
David E Werkmeister, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-345-2623 Fax: 507-389-4685 | |
Robert Peter Diego, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-345-2623 Fax: 507-389-4685 | |
Ifechi Anyadioha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 E. Madison Ave, Suite 402, Mankato, MN 56001 Phone: 507-625-7246 |