| Eric M Johnson, MD | |
|
303 S Nappanee St, Elkhart, IN 46514-2066 | |
| (574) 296-3291 | |
| (574) 296-3383 |
| Full Name | Eric M Johnson |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 27 Years |
| Location | 303 S Nappanee St, Elkhart, Indiana |
| 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 |
|---|---|---|---|
| 1245201169 | NPI | - | NPPES |
| 000000496144 | Other | IN | ANTHEM |
| 200415640 | Medicaid | IN | |
| P00373238 | Other | IN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 01057061A (Indiana) | Secondary |
| 207Y00000X | Otolaryngology | 4301513507 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson Battle Creek Hospital | Battle creek, MI | Hospital |
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Indiana, Llc | 2365341674 | 39 |
| Bronson Battle Creek Hospital | 0547173478 | 169 |
| Entity Name | Privia Medical Group Indiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568147809 PECOS PAC ID: 2365341674 Enrollment ID: O20040110000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric M Johnson, MD 300 North Ave Ste 1400, Battle Creek, MI 49017-3307 Ph: (269) 245-8590 | Eric M Johnson, MD 303 S Nappanee St, Elkhart, IN 46514-2066 Ph: (574) 296-3291 |
Dr. Craig Edward Meyer, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 500 Arcade Ave, Suite 210, Elkhart, IN 46514 Phone: 574-389-9696 Fax: 574-389-9797 | |
John S Gilbert, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1753 Fulton St, Elkhart, IN 46514 Phone: 574-293-9448 Fax: 574-293-9480 | |
Dr. Erin Marie Kevern, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1753 Fulton St, Elkhart, IN 46514 Phone: 574-293-9448 Fax: 574-293-9480 | |
Ms. Andrea Leslie Gentile, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1753 Fulton St, Elkhart, IN 46514 Phone: 574-293-9448 Fax: 574-293-9480 |