| Dr Linda B Johnson, MD | |
|
665 Winter St Se, Salem, OR 97301-3919 | |
| (503) 561-5634 | |
| Not Available |
| Full Name | Dr Linda B Johnson |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 665 Winter St Se, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821101536 | NPI | - | NPPES |
| C92208 | Other | PROVIDENCE | |
| 8180580 | Medicaid | WA | |
| 057310 | Medicaid | OR | |
| 0167230 | Other | WA L & I | |
| 057310 | Other | MARION POLK CHP | |
| XPY186678 | Medicaid | CA | |
| C92208 | Other | GROUP HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD14117 (Oregon) | Primary |
| Entity Name | Salem Emergency Physicians Service, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063454395 PECOS PAC ID: 8628061124 Enrollment ID: O20040408000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Linda B Johnson, MD Po Box 2505, Salem, OR 97308-2505 Ph: (888) 828-3198 | Dr Linda B Johnson, MD 665 Winter St Se, Salem, OR 97301-3919 Ph: (503) 561-5634 |
Jordan L Barnhart, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 890 Oak St Se, Building 'a', Salem, OR 97301 Phone: 503-814-1278 | |
Jacob Vanderstarre, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 890 Oak St Se Bldg A, Salem, OR 97301 Phone: 855-691-9890 | |
Dr. Charles Wilson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5634 | |
Brian Murray Auld, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3621 Elderberry Dr S, Salem, OR 97302 Phone: 503-580-9228 | |
Dr. Lazeni Koulibali, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5634 | |
Trevor Grant Phillips, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem Emergency Physicians C/o Ed - Salem Hospital 'a', Salem, OR 97301 Phone: 503-561-5634 | |
Michael Barr, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5634 |