| Ellen D Johnson, MD | |
|
23 Ingalls Village Way, Boxford, MA 01921-2248 | |
| (208) 416-2932 | |
| Not Available |
| Full Name | Ellen D Johnson |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 23 Ingalls Village Way, Boxford, Massachusetts |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952320350 | NPI | - | NPPES |
| 286860099 | Medicaid | ME | |
| 30201338 | Medicaid | NH | |
| 7768225 | Other | AETNA | |
| 01Y003105NH02 | Other | NH | ANTHEM |
| 2081211 | Medicaid | MA | |
| P00183990 | Other | RAILROAD MEDICARE | |
| 1204510 | Other | CIGNA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Roanoke Memorial Hospital | Roanoke, VA | Hospital |
| Carilion New River Valley Medical Center | Christiansburg, VA | Hospital |
| Centra Health, Inc | Lynchburg, VA | Hospital |
| Carilion Franklin Memorial Hospital | Rocky mount, VA | Hospital |
| Intermountain Health St Vincent Regional Hospital | Billings, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centra Medical Group Llc | 4789606088 | 709 |
| Carilion Medical Center | 9830096585 | 956 |
| Shannon Clinic | 0840103727 | 550 |
| St Lukes Clinic Llc | 1052217478 | 313 |
| Oroville Hospital | 1254234339 | 93 |
| Eastern Radiological Associates Pc | 0345232732 | 50 |
| Beverly Radiology Associates Inc | 0345241154 | 37 |
| Shannon Clinic | 0840103727 | 550 |
| Mercy Diagnostic Imaging Pc | 1153233283 | 91 |
| Corvallis Radiology Pc | 2062300676 | 54 |
| Carilion Giles Community Hospital | 3678670221 | 223 |
| Carilion Tazewell Community Hospital | 4183604259 | 76 |
| Cmsc Llc | 5890602494 | 92 |
| Tahoe Carson Radiology Loos Et Al Ltd | 6406832591 | 34 |
| Radiology Medical Group Of Napa | 7113906397 | 41 |
| Winchester Radiologists Pc | 7113915281 | 77 |
| South Florida Medical Imaging Pa | 7618869900 | 40 |
| North Platte Nebraska Hospital Corporation | 6507856697 | 237 |
| Tennessee Valley Radiology Llc | 9133105521 | 42 |
| Jason L Hwang Md Inc | 6103171012 | 50 |
| Entity Name | Beverly Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538110846 PECOS PAC ID: 0345241154 Enrollment ID: O20070122000586 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356654495 PECOS PAC ID: 2860688728 Enrollment ID: O20101120000012 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821349317 PECOS PAC ID: 2860688728 Enrollment ID: O20130626000396 |
| Entity Name | Direct Radiology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144572173 PECOS PAC ID: 9436396165 Enrollment ID: O20141008002542 |
| Entity Name | Jason L Hwang MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811486616 PECOS PAC ID: 6103171012 Enrollment ID: O20201116000279 |
| Entity Name | Intercity Radiology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356390736 PECOS PAC ID: 9830003847 Enrollment ID: O20201215001155 |
| Entity Name | Acadiana Radiology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649422726 PECOS PAC ID: 1355403114 Enrollment ID: O20210115001667 |
| Entity Name | Medical Imaging Associates of Idaho Falls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20210218000332 |
| Entity Name | South Florida Medical Imaging PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518945575 PECOS PAC ID: 7618869900 Enrollment ID: O20210223000952 |
| Entity Name | X-ray Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790758449 PECOS PAC ID: 3375539927 Enrollment ID: O20210319001252 |
| Entity Name | Tennessee Valley Radiology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356367551 PECOS PAC ID: 9133105521 Enrollment ID: O20210408001769 |
| Entity Name | Concord Radiology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598260515 PECOS PAC ID: 8628332061 Enrollment ID: O20210426000363 |
| Entity Name | Focus Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528299989 PECOS PAC ID: 6406999259 Enrollment ID: O20210507001106 |
| Entity Name | St Lukes Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20210921002968 |
| Entity Name | Oroville Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710372909 PECOS PAC ID: 1254234339 Enrollment ID: O20230418000240 |
| Entity Name | White Mountain Radiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225018146 PECOS PAC ID: 2365429123 Enrollment ID: O20230602002275 |
| Entity Name | Centra Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20230928003252 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20231010001340 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20240129000674 |
| Entity Name | Cmsc LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20240228002442 |
| Entity Name | Eastern Radiological Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639102171 PECOS PAC ID: 0345232732 Enrollment ID: O20240409000194 |
| Entity Name | Mercy Diagnostic Imaging PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477509768 PECOS PAC ID: 1153233283 Enrollment ID: O20240808002089 |
| Entity Name | North Platte Nebraska Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134355332 PECOS PAC ID: 6507856697 Enrollment ID: O20241004001497 |
| Entity Name | Carilion Tazewell Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427040328 PECOS PAC ID: 4183604259 Enrollment ID: O20241106000179 |
| Entity Name | Carilion Rockbridge Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20241112002398 |
| Entity Name | Winchester Radiologists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235123977 PECOS PAC ID: 7113915281 Enrollment ID: O20241203001184 |
| Entity Name | Memorial Hospital of Converse County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20241227001339 |
| Entity Name | Radiology Medical Group of Napa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285666313 PECOS PAC ID: 7113906397 Enrollment ID: O20250328000031 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20250506003222 |
| Entity Name | Corvallis Radiology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881651289 PECOS PAC ID: 2062300676 Enrollment ID: O20250815001285 |
| Entity Name | Tahoe Carson Radiology Loos Et Al Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902838352 PECOS PAC ID: 6406832591 Enrollment ID: O20251202001627 |
| Entity Name | Pueblo Radiological Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568444271 PECOS PAC ID: 5597661272 Enrollment ID: O20260211000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen D Johnson, MD 22100 Bothell Everett Hwy, Bothell, WA 98021-8431 Ph: (208) 416-2932 | Ellen D Johnson, MD 23 Ingalls Village Way, Boxford, MA 01921-2248 Ph: (208) 416-2932 |