Mr Thomas Mark Johnson, RN is a
Registered Nurse - General Practice based in Scandinavia, Wisconsin. Mr Thomas Mark Johnson is licensed to practice in Wisconsin (license number 69342-30) and his current practice location is
N5733 Gurholt Lake Rd, Scandinavia, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 467-2324.
NPI number for Mr Thomas Mark Johnson is 1881069862 and his current mailing address is N5733 Gurholt Lake Rd, Scandinavia, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881069862.
Provider's Profile
Full Name | Mr Thomas Mark Johnson |
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Gender | Male |
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Speciality | Registered Nurse - General Practice |
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Location | N5733 Gurholt Lake Rd, Scandinavia, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881069862
- Provider Enumeration Date: 12/02/2015
- Last Update Date: 12/02/2015
Medical Identifiers
Medical identifiers for Mr Thomas Mark Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881069862 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | 69342-30 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thomas Mark Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Thomas Mark Johnson, RN N5733 Gurholt Lake Rd, Scandinavia, WI 54977-9736 Ph: (715) 467-2324 | Mr Thomas Mark Johnson, RN N5733 Gurholt Lake Rd, Scandinavia, WI 54977-9736 Ph: (715) 467-2324 |
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