| Winona Health Services Physician Group | |
|
855 Mankato Ave Winona MN 55987-4868 | |
| (507) 457-4321 | |
| (507) 474-3224 |
| Full Name | Winona Health Services Physician Group |
|---|---|
| Speciality | General Practice |
| Location | 855 Mankato Ave, Winona, Minnesota |
| Authorized Official Name and Position | Jan Brosnahan (CFO) |
| Authorized Official Contact | 5074543650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winona Health Services Physician Group 855 Mankato Ave Po Box 5600 Winona MN 55987-4868 Ph: (507) 457-4321 | Winona Health Services Physician Group 855 Mankato Ave Winona MN 55987-4868 Ph: (507) 457-4321 |
| NPI Number | 1720210099 |
|---|---|
| Provider Enumeration Date | 08/19/2009 |
| Last Update Date | 11/24/2021 |
| Medicare PECOS PAC ID | 8527977420 |
|---|---|
| Medicare Enrollment ID | O20100129000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720210099 | NPI | - | NPPES |
| 11004400 | Medicaid | WI | |
| 38040CO | Other | MN | BLUE SHIELD |
| 124847200 | Medicaid | MN | |
| 24D0041006 | Other | CLIA |
| Provider Name | Rajah S Sundaram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922002724 PECOS PAC ID: 1658349097 Enrollment ID: I20040922001161 |
| Provider Name | Andrew E Edin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053428508 PECOS PAC ID: 6305925181 Enrollment ID: I20090303000433 |
| Provider Name | Frank A Bures |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992715577 PECOS PAC ID: 3779664396 Enrollment ID: I20090303000517 |
| Provider Name | Susan G Maclellan-tobert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952304834 PECOS PAC ID: 0941498984 Enrollment ID: I20101217000352 |
| Provider Name | Hjalti Gudmundsson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164632980 PECOS PAC ID: 1759415672 Enrollment ID: I20130816000402 |
| Provider Name | Carol K Powell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487634283 PECOS PAC ID: 7012815277 Enrollment ID: I20131220000535 |
| Provider Name | Christen Chamberland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194984716 PECOS PAC ID: 7416171624 Enrollment ID: I20140610000049 |
| Provider Name | Esosa G Odigie-okon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588815914 PECOS PAC ID: 0446573240 Enrollment ID: I20150603001080 |
| Provider Name | Christopher R Takala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013203652 PECOS PAC ID: 9032366638 Enrollment ID: I20160817001929 |
| Provider Name | Jennifer J Forsyth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225328735 PECOS PAC ID: 9830402320 Enrollment ID: I20230622001747 |
Woolley Chiropractic Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3930 W 6th St, Winona, MN 55987 Phone: 507-452-4490 | |
Winona Clinic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Mankato Ave, Winona, MN 55987 Phone: 507-454-3680 Fax: 507-457-7672 | |
Winona Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Mankato Ave, Winona, MN 55987 Phone: 507-454-3680 | |
Winona Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Mankato Ave, Winona, MN 55987 Phone: 507-457-4521 Fax: 507-474-3284 | |
Family Medicine Of Winona P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Mankato Ave Ste 210, Winona, MN 55987 Phone: 507-454-5050 Fax: 507-454-5102 | |
Winona Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650 Fax: 507-457-4413 | |
Winona Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Mankato Ave, Winona, MN 55987 Phone: 507-457-4570 Fax: 507-474-3284 |