David Vere Johnson, MD | |
382 W 280 N, Providence, UT 84332-9753 | |
(435) 752-0330 | |
(435) 755-0922 |
Full Name | David Vere Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 5 Years |
Location | 382 W 280 N, Providence, Utah |
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 |
---|---|---|---|
1336601913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11991423-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Logan Regional Hospital | Logan, UT | Hospital |
Cache Valley Hospital | North logan, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountainstar Medical Group-cache Valley Llc | 5193887149 | 5 |
Entity Name | Mountainstar Medical Group-cache Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144475674 PECOS PAC ID: 5193887149 Enrollment ID: O20081229000411 |
Mailing Address | Practice Location Address |
---|---|
David Vere Johnson, MD 2950 N Church St Ste 301, Layton, UT 84040-6590 Ph: (801) 771-7771 | David Vere Johnson, MD 382 W 280 N, Providence, UT 84332-9753 Ph: (435) 752-0330 |
Dr. Kevin R Duke, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922 | |
Vera B Carlson, MD, PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 565 W 465 N Ste 130, Providence, UT 84332 Phone: 435-752-5553 Fax: 435-755-5043 | |
Jeremy Broadhurst, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300 | |
Thomas H Clark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 595 W 465 N, Providence, UT 84332 Phone: 385-238-3900 Fax: 385-238-3901 | |
Dr. Lars Bergeson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922 | |
James Dennis Mathews, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922 |