| Angel J Johnson, NP | |
|
859 Days Dr, Sutton, WV 26601-6255 | |
| (304) 765-2861 | |
| Not Available |
| Full Name | Angel J Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 859 Days Dr, Sutton, West Virginia |
| 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 |
|---|---|---|---|
| 1811373632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN56238NP (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Braxton County Memorial Hospital, Inc | Gassaway, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifetree Medical Services Llc | 8426314667 | 5 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Post Acute Telehealth Pc | 9638585391 | 42 |
| Entity Name | Lifetree Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487178331 PECOS PAC ID: 8426314667 Enrollment ID: O20171103002876 |
| Entity Name | Post Acute Telehealth Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164011185 PECOS PAC ID: 9638585391 Enrollment ID: O20210422001002 |
| Entity Name | Pa Post Acute Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255057063 PECOS PAC ID: 7911374905 Enrollment ID: O20221222001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Angel J Johnson, NP Po Box 953, Cowen, WV 26206-0953 Ph: () - | Angel J Johnson, NP 859 Days Dr, Sutton, WV 26601-6255 Ph: (304) 765-2861 |
Andrea Jo Tanner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 273 Skidmore Ln, Sutton, WV 26601 Phone: 304-765-4400 Fax: 304-765-0354 | |
Amy R Leibli, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 266 Skidmore Ln, Sutton, WV 26601 Phone: 304-765-4400 Fax: 304-765-0354 | |
Mrs. Stephanie Hope Jackson, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 266 Skidmore Ln, Sutton, WV 26601 Phone: 304-765-0351 Fax: 304-765-7019 | |
Katherine Flint, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 266 Skidmore Ln, Sutton, WV 26601 Phone: 304-765-0351 Fax: 304-765-7019 | |
Sharon Eaton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11455 Bug Ridge Rd, Sutton, WV 26601 Phone: 856-305-7467 | |
Charity Delane Kniceley Woods, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Main St, Sutton, WV 26601 Phone: 304-765-2225 Fax: 304-765-3072 |