Tammy Oliver Johnson, NP | |
16681 Puller Highway, Deltaville, VA 23043 | |
(804) 776-8000 | |
(804) 776-6211 |
Full Name | Tammy Oliver Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 16681 Puller Highway, Deltaville, Virginia |
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 |
---|---|---|---|
1720314883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024168457 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Home Health | Newport news, VA | Home health agency |
Riverside Walter Reed Hospital | Gloucester, VA | Hospital |
Riverside Regional Medical Center | Newport news, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverside Physician Services Inc | 5092608448 | 738 |
Entity Name | Riverside Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Mailing Address | Practice Location Address |
---|---|
Tammy Oliver Johnson, NP 856 J Clyde Morris Blvd, Ste A, Newport News, VA 23601-1318 Ph: () - | Tammy Oliver Johnson, NP 16681 Puller Highway, Deltaville, VA 23043 Ph: (804) 776-8000 |
Carla Rae Rothmann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 916, Deltaville, VA 23043 Phone: 804-776-8000 Fax: 804-776-6211 | |
Tamara Stephens, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16681 Puller Highway, Deltaville, VA 23043 Phone: 804-776-8000 | |
Martha Edwards Hart, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16681 General Puller Hwy, Deltaville, VA 23043 Phone: 804-776-8000 Fax: 804-776-6211 |