Mr Randall Roy Johnson, MD | |
1305 W American Dr, Neenah, WI 54956-1993 | |
(920) 725-9373 | |
(920) 720-7392 |
Full Name | Mr Randall Roy Johnson |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 27 Years |
Location | 1305 W American Dr, Neenah, 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 |
---|---|---|---|
1447293188 | NPI | - | NPPES |
3455700 | Medicaid | WI | |
P00144769 | Other | WI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 47081 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
St Vincent Hospital | Green bay, WI | Hospital |
Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
Thedacare Medical Center-waupaca | Waupaca, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 546 |
The Neuroscience Group Of Northeast Wisconsin Sc | 6204740186 | 51 |
Entity Name | The Neuroscience Group Of Northeast Wisconsin Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578516803 PECOS PAC ID: 6204740186 Enrollment ID: O20031114000506 |
Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
Entity Name | St Clare Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037 |
Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
Mailing Address | Practice Location Address |
---|---|
Mr Randall Roy Johnson, MD 1305 West American Drive, Neenah, WI 54956-2883 Ph: (920) 725-9373 | Mr Randall Roy Johnson, MD 1305 W American Dr, Neenah, WI 54956-1993 Ph: (920) 725-9373 |
Mr. Thomas Alston Lyons, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: West Pavillon 2nd Floor 130 2nd Street, The Neuroscience Group Of Ne Wi, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Mr. Philip Andrew Yazbak, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Mr. Alexander Todd Hawkins, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 800-201-1194 Fax: 920-720-7392 | |
Mr. Sumon Bhattacharjee, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Evan M Krueger, DO Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-729-7687 |