Mary Jo Johnson, DC | |
1305 W 96th St, Suite C, Indianapolis, IN 46260-1192 | |
(317) 580-9867 | |
Not Available |
Full Name | Mary Jo Johnson |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 39 Years |
Location | 1305 W 96th St, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851383491 | NPI | - | NPPES |
100216510A | Medicaid | IN | |
000000189532 | Other | IN | BCBS |
645867 | Other | IN | ACN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08001438A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chiropractic And Wellness Center, Pc | 4385735216 | 2 |
Indiana Pain And Wellness Center Pc | 7012361645 | 3 |
Provider Name | Chiropractic And Wellness Center, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518161744 PECOS PAC ID: 4385735216 Enrollment ID: O20070807000794 |
Provider Name | Indiana Pain And Wellness Center Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417630336 PECOS PAC ID: 7012361645 Enrollment ID: O20230929001944 |
Mailing Address | Practice Location Address |
---|---|
Mary Jo Johnson, DC 1305 W 96th St, Suite C, Indianapolis, IN 46260-1192 Ph: () - | Mary Jo Johnson, DC 1305 W 96th St, Suite C, Indianapolis, IN 46260-1192 Ph: (317) 580-9867 |
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