| Dr Kim Johnson, DO | |
|
3409 Ludington St, Suite 204, Escanaba, MI 49829-4212 | |
| (906) 786-1356 | |
| (906) 789-4503 |
| Full Name | Dr Kim Johnson |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 29 Years |
| Location | 3409 Ludington St, Escanaba, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922058361 | NPI | - | NPPES |
| 1922058361 | Medicaid | MI | |
| 5211399 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5101013033 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeastern Vermont Regional Hospital | Saint johnsbury, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeastern Vermont Regional Hospital Inc | 3678481405 | 108 |
| Entity Name | Northeastern Vermont Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831132299 PECOS PAC ID: 3678481405 Enrollment ID: O20060324000349 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kim Johnson, DO 3409 Ludington St, Suite 204, Escanaba, MI 49829-4212 Ph: (906) 786-1356 | Dr Kim Johnson, DO 3409 Ludington St, Suite 204, Escanaba, MI 49829-4212 Ph: (906) 786-1356 |
Dr. Michael Czerkes, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3409 Ludington St Ste 204, Escanaba, MI 49829 Phone: 906-786-1356 Fax: 906-789-4503 | |
Michael A Degroot, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3409 Ludington St, Suite 204, Escanaba, MI 49829 Phone: 906-786-1356 Fax: 906-789-4503 | |
Casey C Sager, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3409 Ludington St, Suite 204, Escanaba, MI 49829 Phone: 906-786-1356 | |
Dr. David Lawrence Hamacher, MDFACOG Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 126 S 25th St, Suite B, Escanaba, MI 49829 Phone: 906-233-9500 Fax: 906-233-9925 |