| Amanda Johnson, | |
|
1112 N Main Ave, Erwin, TN 37650-1508 | |
| (423) 560-6010 | |
| Not Available |
| Full Name | Amanda Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1112 N Main Ave, Erwin, Tennessee |
| 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 |
|---|---|---|---|
| 1487263422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 27757 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-cities Observation Services, Pc | 3274819719 | 16 |
| Tri-cities Regional Emergency Physicians, Pc | 3678859477 | 105 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Entity Name | Tri-cities Regional Emergency Physicians, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
| Entity Name | Tri-cities Observation Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154860146 PECOS PAC ID: 3274819719 Enrollment ID: O20170417001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Johnson, Po Box 1258, Waynesboro, TN 38485-1258 Ph: (931) 253-1110 | Amanda Johnson, 1112 N Main Ave, Erwin, TN 37650-1508 Ph: (423) 560-6010 |
Casandra Reyes Arellano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 631 Sinasta Dr Ste 3, Erwin, TN 37650 Phone: 423-735-9585 | |
Mrs. Phyllis C Fisher, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1826 N Main Ave, Erwin, TN 37650 Phone: 423-743-6135 Fax: 423-743-0035 | |
Carla Denise Duncan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 631 Sinasta Dr Ste 3, Erwin, TN 37650 Phone: 423-735-9585 | |
Suzonne S Swihart, RN NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 North Main Avenue, Erwin, TN 37650 Phone: 423-743-9176 Fax: 423-743-0860 | |
Mrs. Victoria Lynn Osborne, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Gay St, Erwin, TN 37650 Phone: 423-743-6141 Fax: 423-743-1083 | |
Mrs. Shanna B Peterson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 N Main Ave, Suite 3, Erwin, TN 37650 Phone: 423-743-3440 | |
Laura Kay Berry, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Love St, Erwin, TN 37650 Phone: 423-735-4160 |