| Michele Johnson, MD | |
|
60 East St, Suite 3300, Methuen, MA 01844-4500 | |
| (978) 685-3440 | |
| (978) 657-5877 |
| Full Name | Michele Johnson |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 60 East St, Methuen, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831204122 | NPI | - | NPPES |
| 01Y005533MA01 | Other | NH | ANTHEM |
| 30008466 | Other | NH | MEDICAID NH GROUP |
| 708116 | Other | MA | TUFTS INDIV.NUMBER |
| 6967 | Other | MA | FALLON |
| D13217 | Other | MA | BC/BS INDIVIDUAL # |
| NEIGHBORHOOD HEALTH | Other | MA | 1801562 |
| 98207101 | Other | MA | NETWORK INDIV NUMBER |
| 0173096 | Medicaid | MA | |
| 1309662 | Other | MA | UNITED HEALTHCARE |
| 30205174 | Other | NH | MEDICAID OF NH INDIV |
| 13307 | Other | MA | HARVARD PILGRIM |
| 51762 | Other | MA | FALLON GROUP NUMBER |
| 978403 | Other | MA | NETWORK GROUP NUMBER |
| 611003 | Other | MA | TUFTS GROUP NUMBER |
| M17489 | Other | MA | BC/BS GROUP NUMBER |
| 9787143 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 49865 (Massachusetts) | Primary |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Entity Name | Dhp Of Massachusetts Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619405594 PECOS PAC ID: 8426317942 Enrollment ID: O20180109000515 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Johnson, MD Po Box 71, C/o Kdc Management, Tewksbury, MA 01876-0071 Ph: (978) 657-5866 | Michele Johnson, MD 60 East St, Suite 3300, Methuen, MA 01844-4500 Ph: (978) 685-3440 |
Fernando Mauel Romero, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 60 East St, Methuen, MA 01844 Phone: 978-687-0540 | |
Javed I Siddiqi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 380 Merrimack St, Suite 2c, Methuen, MA 01844 Phone: 978-689-0033 Fax: 978-682-0033 | |
Ibrahim Joulak, M.D., FACOG Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 60 East St Ste 1100, Methuen, MA 01844 Phone: 978-458-8855 Fax: 978-458-8866 |