Mika Lynn Johnson, AGACNP-BC | |
3333 W Deyoung St, Marion, IL 62959-5884 | |
(618) 998-7000 | |
Not Available |
Full Name | Mika Lynn Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 3333 W Deyoung St, Marion, Illinois |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063846467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209015838 (Illinois) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 277001258 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pekin Memorial Hospital | Pekin, IL | Hospital |
Proctor Hospital | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Epss Llc - Central Series | 6204192016 | 28 |
Epss Peoria Llc | 1850587007 | 21 |
Proctor Health Systems | 3476440173 | 123 |
Entity Name | Pekin Prohealth Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Proctor Health Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
Entity Name | Belcrest Services Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245275312 PECOS PAC ID: 9335037217 Enrollment ID: O20040310001103 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
Entity Name | Epss Peoria Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831421056 PECOS PAC ID: 1850587007 Enrollment ID: O20101130000569 |
Entity Name | Sound Physicians Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20111012000272 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
Entity Name | Epss Llc - Central Series |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538680467 PECOS PAC ID: 6204192016 Enrollment ID: O20171110002604 |
Mailing Address | Practice Location Address |
---|---|
Mika Lynn Johnson, AGACNP-BC 23485 Wiegand Ln, Washington, IL 61571-9797 Ph: (336) 909-4907 | Mika Lynn Johnson, AGACNP-BC 3333 W Deyoung St, Marion, IL 62959-5884 Ph: (618) 998-7000 |
Era Louise Mattingly, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11522 White Pine Ave, Marion, IL 62959 Phone: 618-889-4834 | |
Jessie Nicole Fox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Outer Dr, Marion, IL 62959 Phone: 618-993-3817 | |
Ms. Peggy Boyd, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3106 Outer Dr, Marion, IL 62959 Phone: 618-997-4332 Fax: 618-997-6205 | |
Donna R Walters, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 618-997-5266 Fax: 618-997-5285 | |
Mrs. Holly Ann Gates, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155 | |
Rhonda Raye Heatherly, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S Vicksburg St, Marion, IL 62959 Phone: 618-998-1900 |