| Andrew David Johnson, PA-C | |
|
1215 E Michigan Ave, Lansing, MI 48912-1896 | |
| (517) 364-1000 | |
| Not Available |
| Full Name | Andrew David Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1215 E Michigan Ave, Lansing, Michigan |
| 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 |
|---|---|---|---|
| 1376027870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008825 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Health Grand Rapids Hospital | Grand rapids, MI | Hospital |
| Corewell Health Grand Rapids Hospitals Butterworth | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Health/saint Mary's Medical Group | 4082807961 | 499 |
| Entity Name | Sparrow Ionia Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20031230000664 |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Entity Name | Vituity - Michigan Em PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144892332 PECOS PAC ID: 8022414010 Enrollment ID: O20210830002859 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew David Johnson, PA-C 823 Flowering Plum Dr, Brighton, MI 48116-7098 Ph: (810) 360-8163 | Andrew David Johnson, PA-C 1215 E Michigan Ave, Lansing, MI 48912-1896 Ph: (517) 364-1000 |
Mr. Garrett Smigelski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-3380 Fax: 517-364-3399 |
Jill Marie-burton Knox, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1540 Lake Lansing Rd, Suite G02, Lansing, MI 48912 Phone: 517-913-6650 Fax: 517-913-6677 |
Elizabeth K Labutte, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-1000 |
Aastyn Kerria Guarino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4052 Legacy Pkwy Ste 200, Lansing, MI 48911 Phone: 517-272-9700 |
Charles E Thomas, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 E Michigan Ave, Suite 655, Lansing, MI 48912 Phone: 517-267-2460 Fax: 517-267-2462 |
Timothy Robert Palmer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4333 W St Joe Hwy, Lansing, MI 48917 Phone: 517-321-1525 Fax: 517-321-7059 |
Ms. Tiffany Louise Gose, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3955 Patient Care Dr Ste A, Lansing, MI 48911 Phone: 517-374-7600 Fax: 885-480-9150 |