| Dr William A Johnson Iv, MD | |
|
5300 Harroun Rd, Suite 118, Sylvania, OH 43560-2182 | |
| (419) 824-1399 | |
| (419) 824-1772 |
| Full Name | Dr William A Johnson Iv |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 20 Years |
| Location | 5300 Harroun Rd, Sylvania, Ohio |
| 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 |
|---|---|---|---|
| 1699933903 | NPI | - | NPPES |
| 3082597 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 125049506 (Illinois) | Secondary |
| 207Y00000X | Otolaryngology | 35095934 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Pekin Memorial Hospital | Pekin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peoria Ear Nose And Throat Group Sc | 9234179870 | 18 |
| Entity Name | Pekin Prohealth Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
| Entity Name | Peoria Ear Nose And Throat Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952380628 PECOS PAC ID: 9234179870 Enrollment ID: O20050503001234 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William A Johnson Iv, MD 5300 Harroun Rd, Suite 118, Sylvania, OH 43560-2182 Ph: (419) 824-1399 | Dr William A Johnson Iv, MD 5300 Harroun Rd, Suite 118, Sylvania, OH 43560-2182 Ph: (419) 824-1399 |
Mohamad Raed Issa, M.D., MSCR Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5700 Monroe St Unit 310, Sylvania, OH 43560 Phone: 419-578-7555 Fax: 419-539-6336 | |
Allan M Rubin, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 5300 Harroun Rd, Suite 118, Sylvania, OH 43560 Phone: 419-824-1399 Fax: 419-824-1455 | |
Andrew J. Rosko, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5700 Monroe Street, #310, Sylvania, OH 43560 Phone: 419-578-7555 Fax: 419-539-6336 |