Mr Jon David Johnson, ARNP | |
495 E Main St, Lake Butler, FL 32054-1731 | |
(386) 496-3211 | |
(386) 496-1599 |
Full Name | Mr Jon David Johnson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 495 E Main St, Lake Butler, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730179698 | NPI | - | NPPES |
306277500 | Medicaid | FL | |
660083200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9197452 (Florida) | Primary |
Entity Name | Medlink Management Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013972272 PECOS PAC ID: 2466360797 Enrollment ID: O20040227000090 |
Mailing Address | Practice Location Address |
---|---|
Mr Jon David Johnson, ARNP 12049 Sw 76th Ter, Lake Butler, FL 32054-7724 Ph: (386) 496-4428 | Mr Jon David Johnson, ARNP 495 E Main St, Lake Butler, FL 32054-1731 Ph: (386) 496-3211 |
Laura Caswell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7765 S County Road 231, Lake Butler, FL 32054 Phone: 601-291-3146 | |
Ms. Andrea E Waterhouse, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 395 W Main St, Lake Butler, FL 32054 Phone: 386-496-3154 Fax: 386-496-1246 | |
Karl Hudson Dupont, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7765 S County Road 231, Lake Butler, FL 32054 Phone: 386-496-6000 | |
Cheryl Anderson Caska, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 East Main Street, Lake Butler, FL 32054 Phone: 386-496-2323 | |
Gloria Lynn Niquette, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Se 6th Pl, Lake Butler, FL 32054 Phone: 386-496-1236 | |
Mrs. Jamie Lynn Parrish, MSN, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15995 W State Road 238, Lake Butler, FL 32054 Phone: 386-496-9006 Fax: 844-276-8610 |