| Kristopher B Johnson, MD | |
|
401 9th Ave Nw, Watertown, SD 57201-1548 | |
| (605) 882-7000 | |
| Not Available |
| Full Name | Kristopher B Johnson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 401 9th Ave Nw, Watertown, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265994446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 15654 (South Dakota) | Primary |
| Entity Name | Prairie Lakes Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20040202000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristopher B Johnson, MD Po Box 1210, Watertown, SD 57201-6210 Ph: (605) 882-7000 | Kristopher B Johnson, MD 401 9th Ave Nw, Watertown, SD 57201-1548 Ph: (605) 882-7000 |
Alan R Christensen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 4th St Nw, Watertown, SD 57201 Phone: 605-886-8471 Fax: 605-886-9317 | |
Dr. Kelly Ann Ming, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 4th St Nw, Watertown, SD 57201 Phone: 605-886-8471 Fax: 605-886-9317 | |
Edwin S. Gerrish, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 506 1st Ave Se, Watertown, SD 57201 Phone: 605-886-8482 Fax: 605-884-4300 | |
Roger L Carter, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 901 4th St Nw, Watertown, SD 57201 Phone: 605-886-8471 Fax: 605-886-9317 | |
Alan A. Lawrence, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 511 14th Ave Ne, Watertown, SD 57201 Phone: 605-886-8482 Fax: 605-884-4300 | |
Dr. Nicholas John Harms, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 4th St Nw, Watertown, SD 57201 Phone: 605-886-8471 Fax: 605-886-9317 |