Brett C Johnson, DO | |
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
(707) 423-3383 | |
Not Available |
Full Name | Brett C Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 101 Bodin Cir, Travis Afb, California |
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 |
---|---|---|---|
1023337185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | O-0729 (Idaho) | Primary |
207P00000X | Emergency Medicine | 20A13693 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Canyon Home Care & Hospice | Fruitland, ID | Home health agency |
Horizon Hospice | Meridian, ID | Hospice |
Saint Alphonsus Home Health & Hospice | Boise, ID | Hospice |
Encompass Home Health & Hospice Of Idaho | Nampa, ID | Hospice |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
Weiser Memorial Hospital | Weiser, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Brett C Johnson, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3383 | Brett C Johnson, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3383 |
Dr. Patrick Aaron Shea, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3369 | |
Dr. Breanna L Gawrys, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3057 | |
Courtney Ann Dawley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 Fax: 707-423-3501 | |
Dr. Brian M Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7113 | |
Dr. David M Olson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3842 | |
Kent Do, Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7113 |