| Dr Matthew Christopher Johnson, MD | |
|
4656 40th Ave S Ste 130, Fargo, ND 58104-4397 | |
| (701) 234-8860 | |
| Not Available |
| Full Name | Dr Matthew Christopher Johnson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 5 Years |
| Location | 4656 40th Ave S Ste 130, Fargo, North Dakota |
| 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 |
|---|---|---|---|
| 1679157630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 22670 (North Dakota) | Secondary |
| 207N00000X | Dermatology | 2023-01305 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1210 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Christopher Johnson, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: Not Available | Dr Matthew Christopher Johnson, MD 4656 40th Ave S Ste 130, Fargo, ND 58104-4397 Ph: (701) 234-8860 |
Harrison Zhu, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4820 23rd Ave S Ste 200, Fargo, ND 58104 Phone: 701-293-4134 |
Mrs. Rachel C Ness, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3173 43rd Street S Ste A, Fargo, ND 58104 Phone: 701-478-8780 Fax: 701-478-8781 |
Kimberly Rae Kelly, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 |
Christopher Robert Rouse, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4656 40th Ave S Ste 130, Fargo, ND 58104 Phone: 701-234-8860 Fax: 701-234-8924 |
David B Flach, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4656 40th Ave S, Fargo, ND 58104 Phone: 701-234-8860 Fax: 701-234-8924 |
Christopher Ryan Cunningham, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 |
Amanda Beehler, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 |