Paul E Johnson, MD | |
705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | |
(605) 217-5500 | |
(605) 217-5515 |
Full Name | Paul E Johnson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 47 Years |
Location | 705 Sioux Point Rd, Dakota Dunes, South Dakota |
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 |
---|---|---|---|
1578539540 | NPI | - | NPPES |
7301950 | Medicaid | SD | |
020043596 | Other | SD | RR MEDICARE |
1035535 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 3907 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercyone Siouxland | Sioux city, IA | Hospital |
St Lukes Regional Medical Center | Sioux city, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cnos Pc | 4284548942 | 99 |
Entity Name | Cnos Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881604320 PECOS PAC ID: 4284548942 Enrollment ID: O20031217000907 |
Entity Name | Midlands Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649364894 PECOS PAC ID: 8820981681 Enrollment ID: O20040205000255 |
Mailing Address | Practice Location Address |
---|---|
Paul E Johnson, MD 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 Ph: (605) 217-5500 | Paul E Johnson, MD 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 Ph: (605) 217-5500 |
Dr. Craig Robert Nemechek, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515 | |
Raviteja Naga Devalla, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 345 W Steamboat Dr Ste 601, Dakota Dunes, SD 57049 Phone: 605-217-5617 Fax: 605-217-5533 | |
Dr. Keith A. Vollstedt, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515 | |
Dr. Paul W. Wolpert, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 612 N Sioux Point Rd, Ste 400, Dakota Dunes, SD 57049 Phone: 605-232-6353 Fax: 605-232-6500 | |
Dr. Yorell Manon-matos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 575 Sioux Point Road, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900 | |
Dr. Lawrence Thomas Volz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515 |