| Brent M Johnson, PA | |
|
5656 W Us Highway 10, Ludington, MI 49431-2454 | |
| (231) 843-2543 | |
| (231) 843-2547 |
| Full Name | Brent M Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 5656 W Us Highway 10, Ludington, 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 |
|---|---|---|---|
| 1093715013 | NPI | - | NPPES |
| CJ0662 | Other | MI | MEDICARE RAILROAD |
| 5601003020 | Other | MI | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601003020 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health Lakeshore Campus | Shelby, MI | Hospital |
| Spectrum Health Ludington Hospital | Ludington, MI | Hospital |
| Mercy Health Hackley Campus | Muskegon, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Partners | 1456430016 | 55 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent M Johnson, PA 5656 W Us Highway 10, Ludington, MI 49431-2454 Ph: (231) 843-2543 | Brent M Johnson, PA 5656 W Us Highway 10, Ludington, MI 49431-2454 Ph: (231) 843-2543 |
Nicole Marie Tompkins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 922 Lawndale St, Ludington, MI 49431 Phone: 231-845-7380 | |
Susan Lynn Persson, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7 Atkinson Dr Ste 111, Ludington, MI 49431 Phone: 231-843-3487 | |
Ashleigh Elaine Graham, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 922 Lawndale St, Ludington, MI 49431 Phone: 231-845-7380 | |
Savannah Dawn Molner, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 922 Lawndale St, Ludington, MI 49431 Phone: 231-845-7380 | |
Sheva Anayah Fox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Atkinson Dr, Ludington, MI 49431 Phone: 616-391-3139 | |
Sonya C Camilli, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Atkinson Dr, Ludington, MI 49431 Phone: 231-843-3487 Fax: 231-843-4525 |