Pamela D Johnson, MD | |
4100 John R St, Karmanos Cancer Center, Detroit, MI 48201-2013 | |
(800) 527-6266 | |
(313) 576-8699 |
Full Name | Pamela D Johnson |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 40 Years |
Location | 4100 John R St, Detroit, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417083189 | NPI | - | NPPES |
4133392 | Other | MI | AETNA |
B8910 | Other | MA | MCARE |
2422609003 | Other | MI | CIGNA |
0633185 | Other | MA | BCBS |
102263 | Other | MI | PREFERRED CHOICES |
74717A | Other | MA | HEALTH ALLIANCE PLAN |
P71138 | Other | MI | BLUE CHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301048870 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Karmanos Cancer Center | Detroit, MI | Hospital |
Beaumont Hospital, Troy | Troy, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Healthcare Professionals Pc | 0345413258 | 451 |
Barbara Ann Karmanos Cancer Institute | 3870407901 | 40 |
Entity Name | Barbara Ann Karmanos Cancer Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225022288 PECOS PAC ID: 3870407901 Enrollment ID: O20031113000601 |
Entity Name | University Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
Entity Name | Michigan Healthcare Professionals Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
Mailing Address | Practice Location Address |
---|---|
Pamela D Johnson, MD 1420 Stephenson Hwy, Suite 400-credentialing, Troy, MI 48083-1189 Ph: (248) 581-5974 | Pamela D Johnson, MD 4100 John R St, Karmanos Cancer Center, Detroit, MI 48201-2013 Ph: (800) 527-6266 |
Kaitlyn Dobesh, MD Surgery Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Bellal Ali Joseph, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3056 Fax: 313-916-9920 | |
Charles Edward Lucas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4160 John R St, Suite 615, Detroit, MI 48201 Phone: 313-745-4195 Fax: 313-993-8669 | |
Christopher Paul Cassell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Mitchell Ross Weaver, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3156 Fax: 313-916-3023 | |
Alexander Marinica, Surgery Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr Ste 121, Detroit, MI 48235 Phone: 313-966-3222 | |
Dr. Rachel Wobig, MD Surgery Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-5071 Fax: 313-916-9920 |