| Wade Johnson, DO | |
|
1025 Marsh St, Mankato, MN 56001-4752 | |
| (507) 625-4031 | |
| Not Available |
| Full Name | Wade Johnson |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 12 Years |
| Location | 1025 Marsh St, Mankato, 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 |
|---|---|---|---|
| 1235530890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 63980 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System - Mankato | Mankato, MN | Hospital |
| Mayo Clinic Health System-new Prague | New prague, 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-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 |
|---|---|
| Wade Johnson, DO 200 1st St Sw, Rochester, MN 55905-0001 Ph: () - | Wade Johnson, DO 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 625-4031 |
Dr. Matthew David Hodgden, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1522 N Riverfront Dr, Mankato, MN 56001 Phone: 218-639-3449 | |
Dr. Robert Helton Long, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1400 Madison Ave Ste 402, Mankato, MN 56001 Phone: 507-625-7246 Fax: 507-386-2599 | |
Justin M. Foley, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Ms. Lori Ann Manthey, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1961 Premier Dr, Mankato, MN 56001 Phone: 507-345-5023 Fax: 507-345-5023 | |
Deanna Marie Brinks, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Dr. Jason Paul Dauffenbach, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |