| Dr Edward D Johnson, MD | |
|
840 S Meyers St, Kettle Falls, WA 99141 | |
| (509) 685-7848 | |
| (509) 684-5817 |
| Full Name | Dr Edward D Johnson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 840 S Meyers St, Kettle Falls, 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 |
|---|---|---|---|
| 1780672725 | NPI | - | NPPES |
| 8238982 | Medicaid | WA | |
| 8924161 | Other | L & I CRIME VICTIMS | |
| 125338 | Other | L & I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00036372 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Mount Carmel Hospital | Colville, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 0345139929 | 727 |
| Providence Health And Services - Washington | 3577623115 | 13 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841442332 PECOS PAC ID: 3577623115 Enrollment ID: O20090130000176 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward D Johnson, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Dr Edward D Johnson, MD 840 S Meyers St, Kettle Falls, WA 99141 Ph: (509) 685-7848 |
Dr. Samuel A Artzis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 S Meyers St, Kettle Falls, WA 99141 Phone: 509-738-6607 Fax: 509-738-4180 | |
Craig Wolfe, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 S Meyers St, Kettle Falls, WA 99141 Phone: 509-685-7848 | |
April S. Hume, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 S Meyers St, Kettle Falls, WA 99141 Phone: 509-685-7848 Fax: 509-738-4180 |