| Leighton C Johnson Jr, MD | |
|
1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | |
| (608) 364-2230 | |
| (608) 363-7394 |
| Full Name | Leighton C Johnson Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1905 E. Huebbe Parkway, Beloit, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811915085 | NPI | - | NPPES |
| 1811915085 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 53312-20 (Wisconsin) | Primary |
| 207X00000X | Orthopaedic Surgery | 036068897 (Illinois) | Secondary |
| Entity Name | Beloit Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841485984 PECOS PAC ID: 8224947858 Enrollment ID: O20080204000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Leighton C Johnson Jr, MD 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 Ph: (608) 364-2230 | Leighton C Johnson Jr, MD 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 Ph: (608) 364-2230 |
Kristin K. Lietzau, PA Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511 Phone: 608-364-2230 Fax: 608-363-7394 | |
Dr. Lee Alan Mcfadden, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Beloit Clinic, 1905 E Huebbe Parkway, Beloit, WI 53511 Phone: 608-364-2230 Fax: 608-363-7394 | |
Ajmal Matloob, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511 Phone: 608-364-2200 Fax: 608-363-7394 | |
Roger E Huizenga, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1905 Huebbe Pkwy, Beloit, WI 53511 Phone: 608-364-2293 Fax: 608-364-2700 | |
Dr. Daniel C. Sellman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1905 E Huebbe Pkwy, Beloit Clinic, Beloit, WI 53511 Phone: 608-364-2230 Fax: 608-363-7395 |