Amy M Johnson, FNP | |
#5 4th Ave. E., Polson, MT 59860 | |
(406) 745-3525 | |
(406) 745-3529 |
Full Name | Amy M Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | #5 4th Ave. E., Polson, Montana |
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 |
---|---|---|---|
1386058345 | NPI | - | NPPES |
1386058345 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | AP60763595 (Washington) | Secondary |
364SF0001X | Clinical Nurse Specialist - Family Health | NUR-APRN-LIC-100778 (Montana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Medical Center | Missoula, MT | Hospital |
Providence St Joseph Medical Center | Polson, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Physicians Group | 8426370842 | 74 |
Providence St Joseph Medical Center | 0446230247 | 40 |
Entity Name | Providence Health & Services Mt |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
Entity Name | St Johns Lutheran Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952312050 PECOS PAC ID: 1557255676 Enrollment ID: O20040210000931 |
Entity Name | Providence St Joseph Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
Entity Name | Evergreen Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538390844 PECOS PAC ID: 5991851032 Enrollment ID: O20090915000537 |
Entity Name | Benefis Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780968974 PECOS PAC ID: 1153235296 Enrollment ID: O20100629000044 |
Entity Name | St Johns Lutheran Hospital Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1952312050 PECOS PAC ID: 1557255676 Enrollment ID: O20120405000136 |
Entity Name | Rchp Billings - Missoula Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376946913 PECOS PAC ID: 8426370842 Enrollment ID: O20150312000492 |
Mailing Address | Practice Location Address |
---|---|
Amy M Johnson, FNP P.o. Box 880, St. Ignatius, MT 59865 Ph: (406) 745-3525 | Amy M Johnson, FNP #5 4th Ave. E., Polson, MT 59860 Ph: (406) 745-3525 |