Michael J Johnson, | |
1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | |
(319) 369-7959 | |
Not Available |
Full Name | Michael J Johnson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1026 A Ave Ne, Cedar Rapids, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104175405 | NPI | - | NPPES |
G094270 | Other | IA | ARNP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209009740 (Illinois) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G094270 (Iowa) | Primary |
Entity Name | St Lukes Methodist Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073553939 PECOS PAC ID: 6608786751 Enrollment ID: O20040204000942 |
Entity Name | Vera French Community Mental Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245291129 PECOS PAC ID: 6103715214 Enrollment ID: O20040315000814 |
Mailing Address | Practice Location Address |
---|---|
Michael J Johnson, 2826 W Locust St, Davenport, IA 52804-3354 Ph: (563) 332-8528 | Michael J Johnson, 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 Ph: (319) 369-7959 |
Erin Burns, MSN, ARNP, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 10th St Se, Cedar Rapids, IA 52403 Phone: 319-398-6011 | |
Dr. Jennifer Lee Wittman, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 10th St Se, Cedar Rapids, IA 52403 Phone: 319-247-3010 | |
Jennifer Bradley, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 10th St Se, Cedar Rapids, IA 52403 Phone: 319-369-4777 Fax: 319-369-4694 | |
Brooke Shivers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 1st Ave Ne, Cedar Rapids, IA 52402 Phone: 319-369-8153 | |
Nicole M Pruchno, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 10th St Se, Cedar Rapids, IA 52403 Phone: 319-297-2900 | |
Melinda Sue White, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 411 10th St Se Ste 150, Cedar Rapids, IA 52403 Phone: 800-777-8442 | |
Taran L Engelbart, APN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2375 Edgewood Rd Sw, Cedar Rapids, IA 52404 Phone: 773-896-6592 |