| Daniel Johnson, PA | |
|
1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | |
| (719) 572-6100 | |
| (719) 572-6186 |
| Full Name | Daniel Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 1795 Jet Wing Dr, Colorado Springs, Colorado |
| 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 |
|---|---|---|---|
| 1811583784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0006545 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diversus Health Inc | 7719879204 | 49 |
| Entity Name | Diversus Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043260243 PECOS PAC ID: 7719879204 Enrollment ID: O20040329000837 |
| Entity Name | High Plains Community Health Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700889151 PECOS PAC ID: 8527031533 Enrollment ID: O20040818000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Johnson, PA 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 Ph: (719) 572-6100 | Daniel Johnson, PA 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 Ph: (719) 572-6100 |
Mrs. Lauren Elizabeth Spain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 125, Colorado Springs, CO 80910 Phone: 719-365-1950 Fax: 719-365-1951 |
Ms. Kirsten Felice Harlow, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 125, Colorado Springs, CO 80910 Phone: 719-365-1950 Fax: 719-365-1951 |
Miss Jamie Elizabeth Brady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 Bob Peters Grv Ste 302, Colorado Springs, CO 80909 Phone: 719-365-5445 Fax: 719-365-5530 |
Varinia Vigueras, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 460, Colorado Springs, CO 80920 Phone: 719-364-6488 |
Vi T Pham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 722 S Wahsatch Ave, Colorado Springs, CO 80903 Phone: 719-632-5700 |
Caleb Seth Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 175 S Union Blvd, Colorado Springs, CO 80910 Phone: 337-550-9939 |
Emily Lynn Rauchut, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6031 E Woodmen Rd Ste 300, Colorado Springs, CO 80923 Phone: 719-521-3391 |