| Dr Michael Lee Johnson, MD | |
|
990 Sylvan Way, Bremerton, WA 98310-2851 | |
| (360) 479-3657 | |
| (360) 373-7616 |
| Full Name | Dr Michael Lee Johnson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 990 Sylvan Way, Bremerton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184623902 | NPI | - | NPPES |
| 46013 | Other | WA | VICTIMS OF CRIME |
| 050039619 | Other | WA | RAILROAD MEDICARE |
| 91084721504 | Other | WA | KPS |
| JO3238 | Other | WA | REGENCE BLUE SHIELD |
| 1015023 | Medicaid | WA | |
| 910847215 | Other | WA | PREMERA BLUE CROSS |
| 016487001 | Other | WA | GROUP HEALTH CORP |
| 46013 | Other | WA | LABOR AND INDUSTRIES |
| 910847215 | Other | WA | UNIFORM MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD00023534 (Washington) | Primary |
| Entity Name | Olympic Anesthesia Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586125 PECOS PAC ID: 4587551064 Enrollment ID: O20040301000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Lee Johnson, MD 990 Sylvan Way, Bremerton, WA 98310-2851 Ph: (360) 479-3657 | Dr Michael Lee Johnson, MD 990 Sylvan Way, Bremerton, WA 98310-2851 Ph: (360) 479-3657 |
Dr. Henry Nguyen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 990 Sylvan Way, Bremerton, WA 98310 Phone: 360-479-3657 Fax: 360-373-7616 | |
Charles L Lamb, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 990 Sylvan Way, Bremerton, WA 98310 Phone: 360-479-3657 Fax: 360-373-7616 | |
Dr. Nancy D Briller, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 990 Sylvan Way, Bremerton, WA 98310 Phone: 360-479-3657 Fax: 360-373-7616 | |
Dr. Samuel Gilbert Espiritu, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 603-475-4416 | |
Rami Soufan, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 990 Sylvan Way Ste 101, Bremerton, WA 98310 Phone: 360-479-3657 | |
Dr. Kenneth David Klions, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Sylvan Way, Bremerton, WA 98310 Phone: 360-479-3657 Fax: 360-373-7616 |