Alicia Renee Johnson, PA | |
98 State St, Proctorville, OH 45669-8163 | |
(740) 886-9370 | |
(740) 886-9374 |
Full Name | Alicia Renee Johnson |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 16 Years |
Location | 98 State St, Proctorville, Ohio |
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 |
---|---|---|---|
1134434830 | NPI | - | NPPES |
0095884 | Medicaid | OH | |
P00914836 | Other | OH | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 50.003097RX (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary's Home Health Service | Proctorville, OH | Home health agency |
St Mary's Medical Center | Huntington, WV | Hospital |
King's Daughters' Medical Center | Ashland, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holzer Clinic Llc | 5890606008 | 264 |
Mailing Address | Practice Location Address |
---|---|
Alicia Renee Johnson, PA 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 886-9370 | Alicia Renee Johnson, PA 98 State St, Proctorville, OH 45669-8163 Ph: (740) 886-9370 |
Lisa Marie Tolliver, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6276 County Road 107, Proctorville, OH 45669 Phone: 888-221-1826 |