Dr Lisa Ann Johnson, MD | |
525 Lilly Rd Ne, Olympia, WA 98506-5101 | |
(360) 493-7230 | |
(360) 493-4180 |
Full Name | Dr Lisa Ann Johnson |
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Gender | Female |
Speciality | Family Medicine |
Location | 525 Lilly Rd Ne, Olympia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316948227 | NPI | - | NPPES |
8448201 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00017504 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Ann Johnson, MD 525 Lilly Rd Ne, Olympia, WA 98506-5101 Ph: (360) 493-7230 | Dr Lisa Ann Johnson, MD 525 Lilly Rd Ne, Olympia, WA 98506-5101 Ph: (360) 493-7230 |
Amihan A Ferrer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Michael W Balfe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 | |
Terry Rice, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3622a Ensign Rd Ne, Olympia, WA 98506 Phone: 360-459-7282 | |
Gordon Wheat, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Mr. Aaron J. Beck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1620 Cooper Point Rd Sw, Olympia, WA 98502 Phone: 360-486-6710 Fax: 360-705-0269 | |
Bahram Badri, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 | |
Dr. Kelvie A Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-493-7230 Fax: 360-493-4180 |