| Wendi A Johnson, MD | |
|
320 E Main St, Crosby, MN 56441-1645 | |
| (218) 546-7000 | |
| (218) 546-4400 |
| Full Name | Wendi A Johnson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 320 E Main St, Crosby, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861483711 | NPI | - | NPPES |
| 127726 | Other | U CARE | |
| COMP | Other | CHAMPUS | |
| 370015800 | Other | RR MEDICARE | |
| 519112200 | Medicaid | MN | |
| COMP | Other | MMSI | |
| 1200672 | Other | MEDICA HEALTH PLANS | |
| 2115882 | Other | FIRST HEALTH PLAN | |
| 940644 | Other | ARAZ GROUP AMERICAS PPO | |
| 1023002 | Other | PREFERRED ONE | |
| 86D69HO | Other | BLUE CROSS BLUE SHIELD | |
| COMP | Other | ONE HEALTH PLAN GREAT WES | |
| HP30134 | Other | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 42414 (Minnesota) | Primary |
| Entity Name | Cuyuna Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861414518 PECOS PAC ID: 9537146550 Enrollment ID: O20040707000501 |
| Entity Name | Cuyuna Regional Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538143896 PECOS PAC ID: 9537146550 Enrollment ID: O20160916001252 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendi A Johnson, MD 320 E Main St, Crosby, MN 56441-1645 Ph: (218) 546-7000 | Wendi A Johnson, MD 320 E Main St, Crosby, MN 56441-1645 Ph: (218) 546-7000 |
Angelina G Ausban, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 320 East Main St, Crosby, MN 56441 Phone: 218-546-7000 Fax: 218-546-4400 |