Mr Parker Brandt Johnson, PA-C | |
1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | |
(309) 663-6461 | |
(309) 663-4529 |
Full Name | Mr Parker Brandt Johnson |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 4 Years |
Location | 1111 Trinity Ln Ste 111, Bloomington, Illinois |
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 |
---|---|---|---|
1710578117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PENDING (Illinois) | Secondary |
363A00000X | Physician Assistant | 085008197 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Bromenn Medical Center | Normal, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carle West Physician Group Inc | 8921420308 | 283 |
Mailing Address | Practice Location Address |
---|---|
Mr Parker Brandt Johnson, PA-C 611 W. Park St, Fapc, Urbana, IL 61801 Ph: () - | Mr Parker Brandt Johnson, PA-C 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 Ph: (309) 663-6461 |
Amy J Stites, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820 | |
Nicholas Ray Von Holten, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-663-6461 | |
Megan Becker, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820 | |
Victoria C Voegel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1414 Woodbine Rd, Bloomington, IL 61704 Phone: 309-662-2273 Fax: 309-662-2014 | |
Danielle Beer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-663-2100 Fax: 309-663-8322 | |
Mrs. Sara Ann Houk, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 E. Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
John Jeffrey Williamson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3422 |