Dr Corey S Johnson, MD | |
1615 Delaware St, Longview, WA 98632-2367 | |
(360) 501-3500 | |
Not Available |
Full Name | Dr Corey S Johnson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 14 Years |
Location | 1615 Delaware St, Longview, Washington |
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 |
---|---|---|---|
1801116488 | NPI | - | NPPES |
2020889 | Medicaid | WA | |
500685674 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD60533337 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Overlake Hospital Medical Center | Bellevue, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peacehealth | 5890689293 | 180 |
Overlake Medical Clinics Llc | 7012808827 | 348 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Entity Name | Overlake Medical Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
Mailing Address | Practice Location Address |
---|---|
Dr Corey S Johnson, MD 1115 Se 164th Ave, Dept. 358, Vancouver, WA 98683-9324 Ph: (360) 729-1462 | Dr Corey S Johnson, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 501-3500 |
George S. Fortner, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Susan Laurie Morrison, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Virginia S. Huang, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Suite 200, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Dr. Dane L. Moseson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Suite 200, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Christine M. Katterhagen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Mario D. Forte, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 |