Brenda Mae Johnson, APRN | |
East Hwy 18, Pine Ridge, SD 57770 | |
(605) 867-5131 | |
Not Available |
Full Name | Brenda Mae Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | East Hwy 18, Pine Ridge, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578539599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 110710 (Nebraska) | Primary |
Entity Name | Pine Ridge Indian Health Service Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
Mailing Address | Practice Location Address |
---|---|
Brenda Mae Johnson, APRN Po Box 293, Hay Springs, NE 69347-0293 Ph: (605) 867-5131 | Brenda Mae Johnson, APRN East Hwy 18, Pine Ridge, SD 57770 Ph: (605) 867-5131 |
Mrs. Johanna Christine Hewitt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Highway 18, Pine Ridge, SD 57770 Phone: 605-867-5131 | |
Catherine Stilwell Brechtel, BSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Us Highway 18, Pine Ridge, SD 57770 Phone: 605-867-3007 Fax: 605-867-3338 | |
Amber Nicole Janis, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: E. Hwy 18, 4500 Hospital Drive, Pine Ridge Indian Health Service Hospital, Pine Ridge, SD 57770 Phone: 605-867-3056 | |
Tenecia Dawn Lancaster, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 607 Indian Health Rd, Pine Ridge, SD 57770 Phone: 605-867-5131 |