| Carly Kristin Martha Johnson, PA-C | |
|
7373 France Ave S Ste 208, Edina, MN 55435-4598 | |
| (952) 835-1311 | |
| (952) 428-0095 |
| Full Name | Carly Kristin Martha Johnson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 7373 France Ave S Ste 208, Edina, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376135129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 14497 (Minnesota) | Primary |
| Entity Name | St Francis Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408 |
| Entity Name | MN UC Providers Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871265074 PECOS PAC ID: 8729461421 Enrollment ID: O20220812001558 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Kristin Martha Johnson, PA-C 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Carly Kristin Martha Johnson, PA-C 7373 France Ave S Ste 208, Edina, MN 55435-4598 Ph: (952) 835-1311 |
Ms. Maisy Monica Sanneman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6525 France Ave. S., Suite 200, Edina, MN 55435 Phone: 952-927-6501 Fax: 952-922-1623 |
Cassandra L Farmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7500 France Ave S, Edina, MN 55435 Phone: 952-927-6501 |
Larry Nilsson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4010 West 65th Street, Twin Cities Orthopedics, Edina, MN 55435 Phone: 952-944-2519 Fax: 952-944-0460 |
Katherine Balcom Valek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6565 France Ave S, Suite 375, Edina, MN 55435 Phone: 651-312-1700 Fax: 651-312-1570 |
Mr. Matthew C Hawkins, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7373 France Ave S Ste 408, Edina, MN 55435 Phone: 651-430-3800 Fax: 651-430-3827 |
Mrs. Kaitlyn M Soldan, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4010 W 65th St, Edina, MN 55435 Phone: 952-456-7000 Fax: 952-456-7001 |
Katelyn Marie Trexel, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6363 France Ave S Ste 500, Edina, MN 55435 Phone: 952-928-1800 |