| Jeremy Delane Johnson, CRNA | |
|
3300 Oakdale Ave North, Robbinsdale, MN 55422 | |
| (206) 520-5000 | |
| Not Available |
| Full Name | Jeremy Delane Johnson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 3300 Oakdale Ave North, Robbinsdale, 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 |
|---|---|---|---|
| 1366858581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 382 (Minnesota) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60813548 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Delane Johnson, CRNA Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 520-5700 | Jeremy Delane Johnson, CRNA 3300 Oakdale Ave North, Robbinsdale, MN 55422 Ph: (206) 520-5000 |
Tana Isaacson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926 | |
Dana Lee Chippendale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200 | |
Jonghwa Park, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-3980 Fax: 763-581-3591 | |
Katherine Piehl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200 Fax: 763-257-8356 | |
Carolyn Olson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926 | |
Jeffrey Middendorf, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926 | |
Brian Geniesse, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200 |