Mr Nathan Merritt Johnson, MD | |
1 Riverside Cir Ste 300, Roanoke, VA 24016-4962 | |
(540) 224-5170 | |
Not Available |
Full Name | Mr Nathan Merritt Johnson |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 7 Years |
Location | 1 Riverside Cir Ste 300, Roanoke, Virginia |
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 |
---|---|---|---|
1942731674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | E-13799 (Arkansas) | Secondary |
207N00000X | Dermatology | 0116030218 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Dermatology And Skin Cancer Center, Llc | 2961588900 | 8 |
Entity Name | Advanced Dermatology & Skin Cancer Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245426162 PECOS PAC ID: 2961588900 Enrollment ID: O20080401000019 |
Mailing Address | Practice Location Address |
---|---|
Mr Nathan Merritt Johnson, MD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5353 | Mr Nathan Merritt Johnson, MD 1 Riverside Cir Ste 300, Roanoke, VA 24016-4962 Ph: (540) 224-5170 |
Kiley Katherine Fagan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1 Riverside Cir Ste 300, Roanoke, VA 24016 Phone: 540-224-5170 | |
Dr. Larry Patton, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4910 Valley View Blvd Nw, Roanoke, VA 24012 Phone: 540-265-1604 Fax: 540-265-1684 | |
Dr. Howard B Pride, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Riverside Cir Ste 300, Roanoke, VA 24016 Phone: 540-581-0254 | |
Dr. Clay Mitchell Pickard, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1 Riverside Cir Ste 300, Roanoke, VA 24016 Phone: 540-581-0254 Fax: 540-581-0120 | |
Jarret Faust, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 1 Riverside Cir Ste 300, Roanoke, VA 24016 Phone: 540-581-0170 Fax: 479-966-4979 | |
Karla Guerra, DO Dermatology Medicare: Medicare Enrolled Practice Location: 1 Riverside Cir, Roanoke, VA 24016 Phone: 540-581-0254 Fax: 540-581-0120 | |
Melanie Rebecca Walter, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2000 Stephenson Ave., Roanoke, VA 24014 Phone: 540-395-3376 Fax: 540-427-7858 |