| Phelps Brian Johnson, | |
|
407 E 3rd St, Duluth, MN 55805-1950 | |
| (218) 786-4000 | |
| Not Available |
| Full Name | Phelps Brian Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 407 E 3rd St, Duluth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265457782 | NPI | - | NPPES |
| 190148600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 43180 (Minnesota) | Primary |
| Entity Name | St Marys Hospital of Superior |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083657886 PECOS PAC ID: 8628964228 Enrollment ID: O20040309000070 |
| Entity Name | St Marys Hospital of Superior |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083657886 PECOS PAC ID: 8628964228 Enrollment ID: O20061104000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Phelps Brian Johnson, 407 E 3rd St, Duluth, MN 55805-1950 Ph: (218) 786-4000 | Phelps Brian Johnson, 407 E 3rd St, Duluth, MN 55805-1950 Ph: (218) 786-4000 |
Dr. Gregory K Bernhardt, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5616 |
Dr. Colton David Wiesner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 402 E 2nd St, Duluth, MN 55805 Phone: 218-786-4000 |
Dr. Wendell Rhett Bonner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4212 Grand Ave, Duluth, MN 55807 Phone: 218-786-3500 |
Dr. Timothy E Borden, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 |
Dr. Dalton Grimm, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555 |
Peter Chase, MD, PHD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4000 |
Michael Joseph Lucca, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 |