| Blake G Johnson, MD | |
|
738 N College Rd, Suite A, Twin Falls, ID 83301-3385 | |
| (208) 814-7000 | |
| (208) 734-7294 |
| Full Name | Blake G Johnson |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 738 N College Rd, Twin Falls, 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 |
|---|---|---|---|
| 1619913381 | NPI | - | NPPES |
| 804193700 | Medicaid | ID | |
| P00654623 | Other | ID | MCRR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | M7285 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Magic Valley Home Health | Twin falls, ID | Home health agency |
| Visions Home Health & Visions Home Care Llc | Twin falls, ID | Home health agency |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sciuridae Boyz Pllc | 4880043678 | 16 |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | Sciuridae Boyz Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780366195 PECOS PAC ID: 4880043678 Enrollment ID: O20231205002124 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake G Johnson, MD Po Box 587, Twin Falls, ID 83303-0587 Ph: (208) 814-7400 | Blake G Johnson, MD 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 Ph: (208) 814-7000 |
Dr. Toby L Anderton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2167 Village Park Ave, Suite 200, Twin Falls, ID 83301 Phone: 208-735-3728 Fax: 208-735-3729 | |
Dr. Jedediah Hunter May, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 738 N College Rd Ste B, Twin Falls, ID 83301 Phone: 208-735-3600 Fax: 208-735-3601 | |
Mark B Wright, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 738 N College Rd, Suite A, Twin Falls, ID 83301 Phone: 208-814-7000 Fax: 208-734-7294 | |
Dr. Rohn Tyler Mckee, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 738 N College Rd, Suite A, Twin Falls, ID 83301 Phone: 208-814-7000 Fax: 208-734-7294 | |
Dr. John W Howar, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 714 N College Rd, Suite A, Twin Falls, ID 83301 Phone: 208-814-7150 Fax: 208-814-7170 | |
James M Retmier, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 738 N College Rd, Suite A, Twin Falls, ID 83301 Phone: 208-814-7000 Fax: 208-734-7294 |