| Abigail Anne Johnson, MA | |
|
303 S Nappanee St, Elkhart, IN 46514-2066 | |
| (574) 296-3200 | |
| (574) 296-3392 |
| Full Name | Abigail Anne Johnson |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 29 Years |
| Location | 303 S Nappanee St, Elkhart, Indiana |
| 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 |
|---|---|---|---|
| 1194078634 | NPI | - | NPPES |
| 201080690 | Medicaid | IN | |
| 23002329A | Other | IN | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 1601000628 (Michigan) | Secondary |
| 231H00000X | Audiologist | 23002329A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Indiana, Llc | 2365341674 | 39 |
| Provider Name | Privia Medical Group Indiana, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568147809 PECOS PAC ID: 2365341674 Enrollment ID: O20040110000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Anne Johnson, MA Po Box 2968, Elkhart, IN 46515-2968 Ph: (574) 296-3200 | Abigail Anne Johnson, MA 303 S Nappanee St, Elkhart, IN 46514-2066 Ph: (574) 296-3200 |
Ms. Karen L. Zigon, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3291 Fax: 574-296-3383 | |
Jordan Leigh Bergstrom, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1753 Fulton St, Elkhart, IN 46514 Phone: 574-293-9448 Fax: 574-293-9480 | |
Dr. Courtney Elizabeth Hart, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1753 Fulton St, Elkhart, IN 46514 Phone: 574-293-9448 Fax: 574-293-9480 | |
Dr. Elizabeth Marie Stockwell, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1753 Fulton St, Elkhart, IN 46514 Phone: 574-293-9448 Fax: 574-293-9480 | |
Alexa M Rozycki, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1753 Fulton St, Elkhart, IN 46514 Phone: 574-293-9448 Fax: 574-293-9480 | |
Patricia Welty, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1755 Fulton St, Suite A, Elkhart, IN 46514 Phone: 574-296-3200 Fax: 574-296-3392 |