| Daniel R Johnson, DO | |
|
723 Park Ridge Lane, N Fond Du Lac, WI 54937-1385 | |
| (920) 926-8600 | |
| (920) 926-8650 |
| Full Name | Daniel R Johnson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 723 Park Ridge Lane, N Fond Du Lac, Wisconsin |
| 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 |
|---|---|---|---|
| 1801038476 | NPI | - | NPPES |
| P01116811 | Other | WI | RAILROAD MEDICARE |
| 1801038476 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 54734-21 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Agnes Hsptl Home Care Svc | Fond du lac, WI | Home health agency |
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Entity Name | The Monroe Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel R Johnson, DO 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Daniel R Johnson, DO 723 Park Ridge Lane, N Fond Du Lac, WI 54937-1385 Ph: (920) 926-8600 |
Dr. Dwayne Charles Clark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 723 Park Ridge Ln, N Fond Du Lac, WI 54937 Phone: 920-926-8600 Fax: 920-926-8650 | |
Dr. Kumi D Swart, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 723 Park Ridge Ln, N Fond Du Lac, WI 54937 Phone: 920-926-8600 Fax: 920-926-8650 |