Dr Edward D Johnson, MD | |
840 S Meyers St, Kettle Falls, WA 99141 | |
(509) 685-7848 | |
(509) 684-5817 |
Full Name | Dr Edward D Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 840 S Meyers St, Kettle Falls, 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 |
---|---|---|---|
1780672725 | NPI | - | NPPES |
8238982 | Medicaid | WA | |
8924161 | Other | L & I CRIME VICTIMS | |
125338 | Other | L & I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00036372 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Mount Carmel Hospital | Colville, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 0345139929 | 694 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
Entity Name | Providence Health & Services - Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841442332 PECOS PAC ID: 3577623115 Enrollment ID: O20090130000176 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward D Johnson, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Dr Edward D Johnson, MD 840 S Meyers St, Kettle Falls, WA 99141 Ph: (509) 685-7848 |
Dr. Samuel A Artzis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 S Meyers St, Kettle Falls, WA 99141 Phone: 509-738-6607 Fax: 509-738-4180 | |
Craig Wolfe, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 840 S Meyers St, Kettle Falls, WA 99141 Phone: 509-685-7848 | |
April S. Hume, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 S Meyers St, Kettle Falls, WA 99141 Phone: 509-685-7848 Fax: 509-738-4180 |