| Elizabeth Jo Johnson, MD | |
|
215 W Yakima Ste 3, Jerome, ID 83338-6164 | |
| (208) 734-1394 | |
| (208) 329-5040 |
| Full Name | Elizabeth Jo Johnson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 215 W Yakima Ste 3, Jerome, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891784245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-9318 (Idaho) | Primary |
| Entity Name | Family Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033165550 PECOS PAC ID: 7012815038 Enrollment ID: O20040216000531 |
| Entity Name | Primary Therapy Source, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912027343 PECOS PAC ID: 7012002702 Enrollment ID: O20070926000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Jo Johnson, MD 215 W Yakima Ste 3, Jerome, ID 83338-6164 Ph: (208) 734-1394 | Elizabeth Jo Johnson, MD 215 W Yakima Ste 3, Jerome, ID 83338-6164 Ph: (208) 734-1394 |
Dr. James S Irwin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 5th Ave W, Suite 1, Jerome, ID 83338 Phone: 208-814-9800 Fax: 208-814-9833 | |
Michael J Keller, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1, Jerome, ID 83338 Phone: 208-814-9800 | |
Brian Lee Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 709 N Lincoln Ave, Jerome, ID 83338 Phone: 208-324-4301 | |
Elizabeth Hart Sugden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W, Jerome, ID 83338 Phone: 208-324-5286 Fax: 208-324-9815 | |
Logan Anderson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1&2, Jerome, ID 83338 Phone: 208-814-9800 | |
Nelson S Browning, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1, Jerome, ID 83338 Phone: 208-814-9800 | |
Dr. Joshua William Kern, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 5th Ave W, Suite 1, Jerome, ID 83338 Phone: 208-814-9800 Fax: 208-814-9835 |