| Matthew Robert Johnson, MD, MPH | |
|
575 N Sioux Point Rd, Dakota Dunes, SD 57049 | |
| (605) 217-2667 | |
| (605) 217-2900 |
| Full Name | Matthew Robert Johnson |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 24 Years |
| Location | 575 N Sioux Point Rd, Dakota Dunes, South Dakota |
| 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 |
|---|---|---|---|
| 1376688150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 37278 (Iowa) | Secondary |
| 207T00000X | Neurological Surgery | 4526 (Nebraska) | Secondary |
| 207T00000X | Neurological Surgery | 7024 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dunes Surgical Hospital | Dakota dunes, SD | Hospital |
| Cherokee Regional Medical Center | Cherokee, IA | Hospital |
| Mercyone Siouxland | Sioux city, IA | Hospital |
| St Lukes Regional Medical Center | Sioux city, IA | Hospital |
| Buena Vista Regional Medical Center | Storm lake, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cnos Pc | 4284548942 | 97 |
| Cnos Pc | 4284548942 | 97 |
| Cnos Pc | 4284548942 | 97 |
| Entity Name | Cnos Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881604320 PECOS PAC ID: 4284548942 Enrollment ID: O20031117000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Robert Johnson, MD, MPH 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 Ph: (605) 217-2667 | Matthew Robert Johnson, MD, MPH 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Ph: (605) 217-2667 |
Thorir Sturla Ragnarsson, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900 | |
Luis Daniel Diaz-aguilar, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900 | |
Quentin John Durward, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900 | |
Dr. John B Pracyk, MD, PHD, MBA Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900 | |
Ralph Frederick Reeder Jr., MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900 | |
Grant Harper Shumaker, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 575 N Sioux Point Rd, Cnos, Pc, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900 |