| Dr Corey S Johnson, MD | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 501-3500 | |
| Not Available |
| Full Name | Dr Corey S Johnson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 15 Years |
| Location | 1615 Delaware St, Longview, Washington |
| 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 |
|---|---|---|---|
| 1801116488 | NPI | - | NPPES |
| 2020889 | Medicaid | WA | |
| 500685674 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD60533337 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Overlake Hospital Medical Center | Bellevue, WA | Hospital |
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 5890689293 | 181 |
| Overlake Medical Clinics Llc | 7012808827 | 380 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
| Entity Name | Overlake Medical Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Corey S Johnson, MD 1115 Se 164th Ave, Dept. 358, Vancouver, WA 98683-9324 Ph: (360) 729-1462 | Dr Corey S Johnson, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 501-3500 |
George S. Fortner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Susan Laurie Morrison, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Virginia S. Huang, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Suite 200, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Dr. Dane L. Moseson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Suite 200, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Christine M. Katterhagen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Melanie Katherine Bobbs, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Mario D. Forte, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 |