| Nicole Marie Johnson, PA-C | |
|
2200 Fowler Grove Blvd Ste 140, Winter Garden, FL 34787-5597 | |
| (407) 614-0528 | |
| (407) 614-0529 |
| Full Name | Nicole Marie Johnson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2200 Fowler Grove Blvd Ste 140, Winter Garden, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053952499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA9116795 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventhealth Primary Care Network Inc | 1557722410 | 338 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Johnson, PA-C 603 Broad Leaf Ln, Mckinney, TX 75072-5153 Ph: (954) 673-9812 | Nicole Marie Johnson, PA-C 2200 Fowler Grove Blvd Ste 140, Winter Garden, FL 34787-5597 Ph: (407) 614-0528 |
Mr. Russell Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13275 W Colonial Dr, Winter Garden, FL 34787 Phone: 407-905-8827 Fax: 407-654-4079 | |
Laura Catherine Mendoza, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3131 Daniels Rd Ste 106, Winter Garden, FL 34787 Phone: 407-654-8186 Fax: 407-877-7956 | |
Vlad Richko, MMS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3724 Winter Garden Vineland Rd Bldg 2, Winter Garden, FL 34787 Phone: 407-440-2728 Fax: 407-792-4152 | |
Aneesa Allie, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 436 N Dillard St, Winter Garden, FL 34787 Phone: 407-877-8080 Fax: 407-877-0907 | |
Dina Samaan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 153 Sugar Belle Dr, Winter Garden, FL 34787 Phone: 321-766-4985 | |
Laura Sophia Ann Kelly, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 222 S Main St, Winter Garden, FL 34787 Phone: 407-694-8450 |