| Carol P Johnson, PA-C | |
|
1000 Rush Dr, Salida, CO 81201-9627 | |
| (719) 530-2048 | |
| (719) 530-2055 |
| Full Name | Carol P Johnson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1000 Rush Dr, Salida, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205802766 | NPI | - | NPPES |
| 431815499 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA765 (Maine) | Primary |
| Entity Name | Salida Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972778272 PECOS PAC ID: 3577451152 Enrollment ID: O20040413000292 |
| Entity Name | Salida Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730258971 PECOS PAC ID: 3577451152 Enrollment ID: O20081209000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol P Johnson, PA-C 550 W Hwy 50, Salida, CO 81201-2238 Ph: (719) 530-2048 | Carol P Johnson, PA-C 1000 Rush Dr, Salida, CO 81201-9627 Ph: (719) 530-2048 |
Mr. Adam M Newman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Rush Dr, Salida, CO 81201 Phone: 719-530-2000 Fax: 719-539-5068 |
Ms. Donna Sheree Beddingfield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 E 1st St, Salida, CO 81201 Phone: 719-539-5338 Fax: 719-539-5339 |
Karli Jacobson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 W Hwy 50, Salida, CO 81201 Phone: 719-530-2020 Fax: 719-530-2021 |
Jamie Vollmerhausen, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 910 Rush Dr, Salida, CO 81201 Phone: 719-539-6637 |
Charlotte S Karls, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 910 Rush Dr, Salida, CO 81201 Phone: 719-539-6637 Fax: 719-539-5275 |
Beth Pack, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 W Hwy 50, Salida, CO 81201 Phone: 719-539-2048 Fax: 719-539-2055 |
Aubrey Danell Pavlacka, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Rush Dr, Salida, CO 81201 Phone: 719-530-2200 |