| Dr Sharita Nicolle Johnson, MD | |
|
117 Hospital Dr, Petersburg, WV 26847-9566 | |
| (800) 541-4009 | |
| Not Available |
| Full Name | Dr Sharita Nicolle Johnson |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 15 Years |
| Location | 117 Hospital Dr, Petersburg, West Virginia |
| 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 |
|---|---|---|---|
| 1598055642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101256435 (Virginia) | Secondary |
| 207P00000X | Emergency Medicine | 27400 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henrico Doctors' Hospital | Richmond, VA | Hospital |
| Riverside Walter Reed Hospital | Gloucester, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Coverage Llc | 3072412592 | 530 |
| Entity Name | Emergency Medicine Associates, P.a.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376917070 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
| Entity Name | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sharita Nicolle Johnson, MD Po Box 763, Morgantown, WV 26507-0763 Ph: (800) 541-4009 | Dr Sharita Nicolle Johnson, MD 117 Hospital Dr, Petersburg, WV 26847-9566 Ph: (800) 541-4009 |
Glenn K Geeting, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 117 Hospital Dr, Petersburg, WV 26847 Phone: 304-257-1026 | |
Theodore I Weitz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Hospital Dr, Petersburg, WV 26847 Phone: 304-257-1026 | |
Dr. Peter Gregory Baltusnik, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 117 Hospital Dr, Petersburg, WV 26847 Phone: 304-257-1026 | |
Dr. Khaled Fathy Said, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Hospital Dr, Petersburg, WV 26847 Phone: 304-257-1026 |