| Dr Corey Allen Johnson, DO | |
|
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
| (855) 446-5937 | |
| (740) 446-5408 |
| Full Name | Dr Corey Allen Johnson |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 8 Years |
| Location | 100 Jackson Pike, Gallipolis, Ohio |
| 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 |
|---|---|---|---|
| 1811422900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 34.004704CTR (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holzer Medical Center | Gallipolis, OH | Hospital |
| Holzer Medical Center Jackson | Jackson, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holzer Clinic Llc | 5890606008 | 264 |
| Entity Name | Holzer Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Corey Allen Johnson, DO 90 Jackson Pike, Gallipolis, OH 45631-1562 Ph: (740) 446-5910 | Dr Corey Allen Johnson, DO 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (855) 446-5937 |
Shailen K. Mehta, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-8070 Fax: 740-446-5408 | |
Daniel R. Black, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5401 Fax: 740-446-5408 |