Dr Dale Alan Johnson, MD | |
820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066-3973 | |
(262) 567-0223 | |
(262) 567-6380 |
Full Name | Dr Dale Alan Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 46 Years |
Location | 820 Summit Ave, Oconomowoc, Wisconsin |
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 |
---|---|---|---|
1447211404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22410 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Waukesha Memorial Hospital | Waukesha, WI | Hospital |
Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prohealth Medical Group Inc | 3476465188 | 416 |
Entity Name | Prohealth Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Mailing Address | Practice Location Address |
---|---|
Dr Dale Alan Johnson, MD 820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066-3973 Ph: (262) 567-0223 | Dr Dale Alan Johnson, MD 820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066-3973 Ph: (262) 567-0223 |
Dr. Richard N Terry, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1284 N Summit Ave, Oconomowoc, WI 53066 Phone: 262-560-3700 Fax: 262-569-2206 | |
Dr. Kristen Ann Vento, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Summit Ave, Prohealth Care Medical Associates, Oconomowoc, WI 53066 Phone: 262-567-0223 | |
Dr. Michael Loyal Cummens, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1803 N Davies Dr, Oconomowoc, WI 53066 Phone: 262-646-8304 | |
Dr. Thomas F Winters, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1284 N Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-3080 | |
Kyle J Kircher, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 888 Thackeray Trl, Suite 103, Oconomowoc, WI 53066 Phone: 262-354-3744 Fax: 262-354-3748 | |
Mrs. Jennifer Lynn Scheeler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1185 Corporate Center Dr, Ste 175, Oconomowoc, WI 53066 Phone: 414-928-4644 |