Edward Johnson, | |
9055 Chevrolet Dr, Ellicott City, MD 21042-4016 | |
(410) 878-2887 | |
Not Available |
Full Name | Edward Johnson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 9055 Chevrolet Dr, Ellicott City, Maryland |
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 |
---|---|---|---|
1467811109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R189350 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Juniper Healthcare Llc | 1355648064 | 6 |
Sandeep Sharma, M.d., L.l.c. | 0143316133 | 4 |
Juniper Healthcare Llc | 1355648064 | 6 |
Entity Name | Central Maryland Primary Care Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417004250 PECOS PAC ID: 5991794109 Enrollment ID: O20040511001228 |
Entity Name | Juniper Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346608171 PECOS PAC ID: 1355648064 Enrollment ID: O20160323002534 |
Entity Name | Nu Pathway Healthcare And Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891329470 PECOS PAC ID: 9830529585 Enrollment ID: O20220113001074 |
Mailing Address | Practice Location Address |
---|---|
Edward Johnson, 1755 Sharwood Pl, Crofton, MD 21114-1924 Ph: (410) 533-6316 | Edward Johnson, 9055 Chevrolet Dr, Ellicott City, MD 21042-4016 Ph: (410) 878-2887 |
Susan Marie L'heureux, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3218 Greenway Dr, Ellicott City, MD 21042 Phone: 410-294-1062 | |
Mrs. Lisa Ann Uhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3691 Park Ave Ste 9, Ellicott City, MD 21043 Phone: 301-279-2779 | |
Ms. Helen Lesada-lasam Cruz, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2635 Kidwell Pl, Ellicott City, MD 21043 Phone: 410-504-2453 | |
Mrs. Elizabeth Whitfield, MSN, CRNP, MPH, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Ellicott City, MD 21043 Phone: 410-203-1700 | |
Dr. Adebola O Adeleye, DNP, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Attn: Minuteclinic Credentialing 2100, Ellicott City, MD 21043 Phone: 410-203-1700 | |
Wafa Nachifa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7668 Blueberry Hill Ln, Ellicott City, MD 21043 Phone: 240-517-1179 | |
Virginia Sine, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2502 River Ridge Trl, Ellicott City, MD 21043 Phone: 410-336-1269 |