| Shane Reed Johnson, PA | |
|
215 E Hawaii Ave, Nampa, ID 83686-6011 | |
| (208) 463-3234 | |
| (208) 463-3044 |
| Full Name | Shane Reed Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 215 E Hawaii Ave, Nampa, Idaho |
| 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 |
|---|---|---|---|
| 1275512543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA293 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | PA293 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Home Health | Portland, OR | Home health agency |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1344 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Reed Johnson, PA 217 W Georgia Ave, Suite 115, Nampa, ID 83686-6811 Ph: (208) 463-3234 | Shane Reed Johnson, PA 215 E Hawaii Ave, Nampa, ID 83686-6011 Ph: (208) 463-3234 |
Michael Vincen-brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1115 12th Ave, Nampa, ID 83686 Phone: 208-498-1080 Fax: 208-498-1081 | |
Kedron F.j. Burnett, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 16th Ave N, Nampa, ID 83687 Phone: 208-467-4431 Fax: 208-467-7684 | |
Mary Elisabeth Titmus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3165 E Greenhurst Rd, Nampa, ID 83686 Phone: 208-463-7330 | |
Mark A Granrud, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Avenue, Nampa, ID 83686 Phone: 208-463-3000 Fax: 208-463-3034 | |
Megan F George, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359 | |
Daniel Reed Marshall, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1019 W Sanetta St, Nampa, ID 83651 Phone: 208-912-4416 | |
Jocelyn Ashley Benton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3908 E Flamingo Ave, Nampa, ID 83687 Phone: 208-442-8035 Fax: 208-442-8038 |