| Alicia Renee Johnson, PA | |
|
98 State St, Proctorville, OH 45669-8163 | |
| (740) 886-9370 | |
| (740) 886-9374 |
| Full Name | Alicia Renee Johnson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 98 State St, Proctorville, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134434830 | NPI | - | NPPES |
| 0095884 | Medicaid | OH | |
| P00914836 | Other | OH | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.003097RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Home Health Service | Proctorville, OH | Home health agency |
| St Mary's Medical Center | Huntington, WV | Hospital |
| Holzer Medical Center | Gallipolis, OH | Hospital |
| Cabell Huntington Hospital Inc | Huntington, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holzer Clinic Llc | 5890606008 | 264 |
| Premier Therapy And Health Centers Inc | 7416859574 | 189 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Renee Johnson, PA 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 886-9370 | Alicia Renee Johnson, PA 98 State St, Proctorville, OH 45669-8163 Ph: (740) 886-9370 |
Lisa Marie Tolliver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6276 County Road 107, Proctorville, OH 45669 Phone: 888-221-1826 |