| Mayo Clinic Health System-red Wing | |
|
701 Hewitt Blvd Red Wing MN 55066-2848 | |
| (651) 267-5000 | |
| Not Available |
| Full Name | Mayo Clinic Health System-red Wing |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 Hewitt Blvd, Red Wing, Minnesota |
| Authorized Official Name and Position | Praveen Mekala (CHEIF FINANCIAL OFFICER) |
| Authorized Official Contact | 7158385270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayo Clinic Health System-red Wing 701 Hewitt Blvd Red Wing MN 55066-2848 Ph: (651) 267-5000 | Mayo Clinic Health System-red Wing 701 Hewitt Blvd Red Wing MN 55066-2848 Ph: (651) 267-5000 |
| NPI Number | 1114453883 |
|---|---|
| Provider Enumeration Date | 05/02/2017 |
| Last Update Date | 03/23/2021 |
| Medicare PECOS PAC ID | 4385556703 |
|---|---|
| Medicare Enrollment ID | O20171120000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114453883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jeannette Gasal Spilde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437182169 PECOS PAC ID: 4486557949 Enrollment ID: I20040130000890 |
| Provider Name | Gregory Brickner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720059330 PECOS PAC ID: 0941296834 Enrollment ID: I20040424000371 |
| Provider Name | Mark Christian Bildsoe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912978529 PECOS PAC ID: 2567458458 Enrollment ID: I20040424000384 |
| Provider Name | Vinay Nijhawan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396716916 PECOS PAC ID: 4082600887 Enrollment ID: I20040426000028 |
| Provider Name | Steve Joseph Folz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437120052 PECOS PAC ID: 8325034127 Enrollment ID: I20040426000062 |
| Provider Name | Edward J Wojciechowski |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558421743 PECOS PAC ID: 3476541087 Enrollment ID: I20040503001519 |
| Provider Name | Scott Jeffrey Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124099551 PECOS PAC ID: 6608845177 Enrollment ID: I20040930000947 |
| Provider Name | Vipul A Trivedi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457338428 PECOS PAC ID: 0648163824 Enrollment ID: I20050708000666 |
| Provider Name | David W Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730164070 PECOS PAC ID: 8820999626 Enrollment ID: I20051020000151 |
| Provider Name | Kristen M Kajewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114917622 PECOS PAC ID: 3870511256 Enrollment ID: I20051103000894 |
| Provider Name | Scott A Martin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073590956 PECOS PAC ID: 3173528494 Enrollment ID: I20060920000260 |
| Provider Name | Donald J Hagler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942206016 PECOS PAC ID: 4587617386 Enrollment ID: I20070419000079 |
| Provider Name | Janel N Glantz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154307395 PECOS PAC ID: 7012816713 Enrollment ID: I20070822000354 |
| Provider Name | Christopher W Lindsay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104899822 PECOS PAC ID: 4284535113 Enrollment ID: I20070907000044 |
| Provider Name | Evie L Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578623831 PECOS PAC ID: 2668574476 Enrollment ID: I20080314000573 |
| Provider Name | Andrew R Virata |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841255122 PECOS PAC ID: 8527134386 Enrollment ID: I20080903000191 |
| Provider Name | Matthew G Pollema |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427131895 PECOS PAC ID: 0648320994 Enrollment ID: I20090609000281 |
| Provider Name | Richard L Ellis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447255500 PECOS PAC ID: 6305749706 Enrollment ID: I20100607000650 |
| Provider Name | Martin J Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437251758 PECOS PAC ID: 9537262191 Enrollment ID: I20100618000133 |
| Provider Name | Jonathan J Uy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467434985 PECOS PAC ID: 0143223834 Enrollment ID: I20100618000662 |
| Provider Name | Angus Scott Marshall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962483065 PECOS PAC ID: 6002877040 Enrollment ID: I20100702000202 |
| Provider Name | Thomas Francis Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811973613 PECOS PAC ID: 7719943281 Enrollment ID: I20101020000090 |
| Provider Name | Jonathan N Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285648899 PECOS PAC ID: 0446253470 Enrollment ID: I20111103000894 |
| Provider Name | Jessica Gusa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720337694 PECOS PAC ID: 0345492187 Enrollment ID: I20130404000500 |
| Provider Name | Lee H Eckstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619176187 PECOS PAC ID: 6002056801 Enrollment ID: I20130627000700 |
| Provider Name | Jeremy F Mcbride |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1093905861 PECOS PAC ID: 7618044298 Enrollment ID: I20130725000875 |
| Provider Name | Melissa Kay Hart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255570636 PECOS PAC ID: 8022250067 Enrollment ID: I20130805000195 |
| Provider Name | Carrie L Kern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013233709 PECOS PAC ID: 5991976375 Enrollment ID: I20130806000491 |
| Provider Name | Frank Cetta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306822549 PECOS PAC ID: 9931008570 Enrollment ID: I20140912000711 |
| Provider Name | Benjamin W Eidem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306869433 PECOS PAC ID: 5496641052 Enrollment ID: I20140912000923 |
| Provider Name | Eric R Niendorf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780685404 PECOS PAC ID: 2567414121 Enrollment ID: I20150601002261 |
| Provider Name | Erik B Sviggum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114157369 PECOS PAC ID: 7810012622 Enrollment ID: I20150630001555 |
| Provider Name | Megan B Meyers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568696573 PECOS PAC ID: 7618117920 Enrollment ID: I20150708001241 |
| Provider Name | Won S Song |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144201930 PECOS PAC ID: 4183796204 Enrollment ID: I20160608001415 |
| Provider Name | Erik Steckler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871812065 PECOS PAC ID: 9234443805 Enrollment ID: I20160706000599 |
| Provider Name | Jesse T Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558688077 PECOS PAC ID: 1850561101 Enrollment ID: I20160721000842 |
| Provider Name | Justin Ionita |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114151263 PECOS PAC ID: 8820215692 Enrollment ID: I20160728001107 |
| Provider Name | Matthew James Schaefer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649324690 PECOS PAC ID: 5294835963 Enrollment ID: I20180214000666 |
| Provider Name | Michael J Wolf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649255209 PECOS PAC ID: 4880598861 Enrollment ID: I20180219001497 |
| Provider Name | Warren R Stanchfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144204827 PECOS PAC ID: 9931237005 Enrollment ID: I20180220001302 |
| Provider Name | Thomas W. Rooke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003893306 PECOS PAC ID: 2668575416 Enrollment ID: I20180306000176 |
| Provider Name | Jacob Brent Ekins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528212420 PECOS PAC ID: 5698812089 Enrollment ID: I20180418002188 |
| Provider Name | Peter B Ryan Reichert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104069988 PECOS PAC ID: 7315096740 Enrollment ID: I20180627003811 |
| Provider Name | Joseph Connell Wildenberg |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1508125634 PECOS PAC ID: 0547570269 Enrollment ID: I20180730001901 |
| Provider Name | Jess L Brehmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750554754 PECOS PAC ID: 3072755701 Enrollment ID: I20181030002953 |
| Provider Name | Mark Stanley Mellstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346302106 PECOS PAC ID: 3577467844 Enrollment ID: I20181127000980 |
| Provider Name | Brian Sinclair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790859429 PECOS PAC ID: 4688579139 Enrollment ID: I20200204002083 |
| Provider Name | Chad L Hanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023216256 PECOS PAC ID: 9133431323 Enrollment ID: I20201002001587 |
| Provider Name | Nathan Eickstaedt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992191894 PECOS PAC ID: 7214220748 Enrollment ID: I20210608000334 |
| Provider Name | Theodore Hanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417211483 PECOS PAC ID: 1254577240 Enrollment ID: I20210720002617 |
| Provider Name | Stephen Nogel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548643315 PECOS PAC ID: 4587959309 Enrollment ID: I20210728000701 |
| Provider Name | Alexander Covington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730422429 PECOS PAC ID: 8820335896 Enrollment ID: I20211221001367 |
| Provider Name | Christopher D Byers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891227252 PECOS PAC ID: 2961756051 Enrollment ID: I20220721003115 |
| Provider Name | David M Kushner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922009224 PECOS PAC ID: 7315931292 Enrollment ID: I20221006002315 |
| Provider Name | Christopher J Sigakis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629364310 PECOS PAC ID: 2466751979 Enrollment ID: I20221007001248 |
| Provider Name | Dorissa Lahner Gursahaney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467815381 PECOS PAC ID: 3870870934 Enrollment ID: I20221007002300 |
| Provider Name | Kevin L Denton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518304930 PECOS PAC ID: 0840597829 Enrollment ID: I20221028000570 |
| Provider Name | Tristan N Covington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124482765 PECOS PAC ID: 2466740774 Enrollment ID: I20221114002695 |
| Provider Name | Alix Hopp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154770774 PECOS PAC ID: 8729356829 Enrollment ID: I20230123000509 |
| Provider Name | Dean F Leslie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619926664 PECOS PAC ID: 6305857749 Enrollment ID: I20230209001707 |
Red Wing Healing Arts Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Bush St, Red Wing, MN 55066 Phone: 651-764-6199 | |
River Valley Chiropractic Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Burnside Ave S, Red Wing, MN 55066 Phone: 651-267-0394 Fax: 651-267-0395 | |
C.a.r.e. Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave, Door #1, Red Wing, MN 55066 Phone: 651-388-1022 | |
E.jane Lorentzen, Psy.d., L.p., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Suite 201, Red Wing, MN 55066 Phone: 651-388-0133 Fax: 651-388-1252 |