| Gary Lynn Johnson, PA | |
|
610 Chestnut St, South Charleston, WV 25309-1251 | |
| (304) 766-7515 | |
| (304) 766-7566 |
| Full Name | Gary Lynn Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 610 Chestnut St, South Charleston, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336116003 | NPI | - | NPPES |
| 1071247 | Other | WV | WV DWC |
| 01092 | Other | WV | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 01092 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Lynn Johnson, PA 107 Rocky Step Rd, Scott Depot, WV 25560-9631 Ph: (304) 412-4243 | Gary Lynn Johnson, PA 610 Chestnut St, South Charleston, WV 25309-1251 Ph: (304) 766-7515 |
Dustin Crites, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3601 Fax: 304-766-3477 | |
Mr. Geno Anthony Santangelo Jr., P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-389-7914 | |
Gregory Porter, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 Chestnut St, South Charleston, WV 25309 Phone: 304-768-8500 Fax: 304-768-8530 | |
Mrs. Lori Jane Rainey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 Division St Ste 306, South Charleston, WV 25309 Phone: 304-766-4300 | |
Aris L Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-521-3612 | |
Natalie R Beeson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 401 Division St Ste 306, South Charleston, WV 25309 Phone: 304-766-4300 Fax: 304-766-5474 | |
Erik James Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 242 Division St, South Charleston, WV 25309 Phone: 304-767-7840 Fax: 304-767-7849 |