Amanda Johnson, | |
1112 N Main Ave, Erwin, TN 37650-1508 | |
(423) 560-6010 | |
Not Available |
Full Name | Amanda Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1112 N Main Ave, Erwin, Tennessee |
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 |
---|---|---|---|
1487263422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 27757 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-cities Observation Services, Pc | 3274819719 | 13 |
Tri-cities Regional Emergency Physicians, Pc | 3678859477 | 127 |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Entity Name | Fast Pace Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
Entity Name | Tri-cities Regional Emergency Physicians, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
Entity Name | Tri-cities Observation Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154860146 PECOS PAC ID: 3274819719 Enrollment ID: O20170417001080 |
Mailing Address | Practice Location Address |
---|---|
Amanda Johnson, Po Box 1258, Waynesboro, TN 38485-1258 Ph: (931) 253-1110 | Amanda Johnson, 1112 N Main Ave, Erwin, TN 37650-1508 Ph: (423) 560-6010 |
Leah A. Mclin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1826 N Main Ave, Erwin, TN 37650 Phone: 423-743-6135 Fax: 423-743-0035 | |
Casandra Reyes Arellano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 631 Sinasta Dr Ste 3, Erwin, TN 37650 Phone: 423-735-9585 | |
Mrs. Phyllis C Fisher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1826 N Main Ave, Erwin, TN 37650 Phone: 423-743-6135 Fax: 423-743-0035 | |
Carla Denise Duncan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 631 Sinasta Dr Ste 3, Erwin, TN 37650 Phone: 423-735-9585 | |
Suzonne S Swihart, RN NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 North Main Avenue, Erwin, TN 37650 Phone: 423-743-9176 Fax: 423-743-0860 | |
Mrs. Victoria Lynn Osborne, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Gay St, Erwin, TN 37650 Phone: 423-743-6141 Fax: 423-743-1083 | |
Mrs. Shanna B Peterson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 N Main Ave, Suite 3, Erwin, TN 37650 Phone: 423-743-3440 |