Mark A Johnson, DO | |
1648 Nw 1st Street, Meridian, ID 83642 | |
(208) 888-9393 | |
(208) 888-9525 |
Full Name | Mark A Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 1648 Nw 1st Street, Meridian, Idaho |
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 |
---|---|---|---|
1376707034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OL20000133 (Washington) | Secondary |
207Q00000X | Family Medicine | O-0583 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alliance Medical Group Llc | 3971544685 | 118 |
Entity Name | Alliance Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568413920 PECOS PAC ID: 3971544685 Enrollment ID: O20050512000561 |
Mailing Address | Practice Location Address |
---|---|
Mark A Johnson, DO 1648 Nw 1st Street, Meridian, ID 83642 Ph: (208) 888-9393 | Mark A Johnson, DO 1648 Nw 1st Street, Meridian, ID 83642 Ph: (208) 888-9393 |
Christina Marie Freston, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1552 N Crestmont Dr Ste B, Meridian, ID 83642 Phone: 208-985-2260 | |
Dr. Warren Hunter Looney, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 260 S Ten Mile Rd, Meridian, ID 83642 Phone: 208-809-2872 | |
Marisa A Battaglia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1623 Wells Ave, Meridian, ID 83642 Phone: 208-489-1450 | |
Mrs. Elaine M. Davidson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2840 S Meridian Rd, Meridian, ID 83642 Phone: 208-593-6393 Fax: 208-593-6402 | |
Catherine J Reynolds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala, Suite 150, Meridian, ID 83642 Phone: 208-345-3530 Fax: 208-381-5080 | |
Raymond Paul Hooft, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3041 E Copper Point Dr, Meridian, ID 83642 Phone: 208-514-4400 Fax: 208-514-4404 | |
Dr. Jason Scott Ludwig, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4740 N Penngrove Way Ste 100, Meridian, ID 83646 Phone: 208-938-3663 Fax: 208-938-3664 |