| Dr Nathan Allen Johnson, MD | |
|
3572 Brodhead Rd, Suite 201, Monaca, PA 15061-3101 | |
| (724) 728-6539 | |
| (724) 728-7416 |
| Full Name | Dr Nathan Allen Johnson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 3572 Brodhead Rd, Monaca, Pennsylvania |
| 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 |
|---|---|---|---|
| 1285824623 | NPI | - | NPPES |
| 2045019 | Other | PA | BLUE CROSS BLUE SHIELD |
| 3810013349 | Medicaid | WV | |
| 1021877070001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MT183509 (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD433869 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wheeling Hospital | Wheeling, WV | Hospital |
| Weirton Medical Center | Weirton, WV | Hospital |
| Princeton Community Hospital | Princeton, WV | Hospital |
| Potomac Valley Hospital | Keyser, WV | Hospital |
| Heritage Valley Beaver | Beaver, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fayette Physician Network Inc | 3375865819 | 295 |
| Heritage Valley Radiology, Inc. | 6305348947 | 25 |
| Fayette Physician Network Inc | 3375865819 | 295 |
| Fayette Physician Network Inc | 3375865819 | 295 |
| Entity Name | Fayette Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437823044 PECOS PAC ID: 3375865819 Enrollment ID: O20220822000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nathan Allen Johnson, MD 3572 Brodhead Rd, Suite 201, Monaca, PA 15061-3101 Ph: (724) 728-6539 | Dr Nathan Allen Johnson, MD 3572 Brodhead Rd, Suite 201, Monaca, PA 15061-3101 Ph: (724) 728-6539 |
Luke E Stall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3582 Brodhead Rd Ste 204, Monaca, PA 15061 Phone: 724-728-7416 |