Dr Michael Alan Johnson, DPM | |
108 Lynch Creek Way, Suite 3, Petaluma, CA 94954 | |
(707) 763-2253 | |
(707) 763-7030 |
Full Name | Dr Michael Alan Johnson |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 35 Years |
Location | 108 Lynch Creek Way, Petaluma, California |
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 |
---|---|---|---|
1205847209 | NPI | - | NPPES |
480027344 | Other | CA | RAILROAD MEDICARE |
000E36712 | Other | CA | MEDICAL |
000E36712 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E3671 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Petaluma Valley Hospital | Petaluma, CA | Hospital |
Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Provider Name | Providence Medical Foundation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Alan Johnson, DPM 108 Lynch Creek Way, Suite 3, Petaluma, CA 94954 Ph: (707) 763-2253 | Dr Michael Alan Johnson, DPM 108 Lynch Creek Way, Suite 3, Petaluma, CA 94954 Ph: (707) 763-2253 |
Dr. Ronald M Lavigna, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1400 Professional Drive, Suite 102, Petaluma, CA 94954 Phone: 707-769-8481 Fax: 707-769-0751 | |
Mrs. Rochelle Lenore Bomar, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 231 N Mcdowell Blvd, Suite D, Petaluma, CA 94954 Phone: 707-763-4343 Fax: 707-283-4663 | |
Don Markley Griffith, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 108 Lynch Creek Wy, #3, Petaluma, CA 94954 Phone: 707-763-2253 Fax: 707-763-7030 | |
Dr. Peter Redko, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1400 Professional Drive, Suite 102, Petaluma, CA 94954 Phone: 707-769-8481 Fax: 707-769-0751 | |
St Joseph Heritage Healthcare Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 108 Lynch Creek Way, Suite 3, Petaluma, CA 94954 Phone: 707-763-7403 Fax: 707-789-0900 | |
North Bay Foot & Ankle Center Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1400 Professional Dr, # 102, Petaluma, CA 94954 Phone: 707-769-8481 Fax: 707-769-0751 |