| David P Johnson, FNP-C | |
|
540 Hospital Dr, Winamac, IN 46996-1173 | |
| (574) 946-2194 | |
| (546) 946-2143 |
| Full Name | David P Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 540 Hospital Dr, Winamac, Indiana |
| 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 |
|---|---|---|---|
| 1174237705 | NPI | - | NPPES |
| 71013448A | Other | IN | APRN PRECRIPTION AUTHORITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71013448A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pulaski Memorial Hospital | Winamac, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pulaski Memorial Hospital | 3173515509 | 44 |
| Entity Name | Medstat Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942388368 PECOS PAC ID: 3476526476 Enrollment ID: O20040817001482 |
| Entity Name | Kosciusko Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398 |
| Mailing Address | Practice Location Address |
|---|---|
| David P Johnson, FNP-C 10229 Carriage Ct, Plymouth, IN 46563-9191 Ph: (574) 936-1916 | David P Johnson, FNP-C 540 Hospital Dr, Winamac, IN 46996-1173 Ph: (574) 946-2194 |
Ms. Tina M Wright, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2418 Curtis Dr, Suite B, Winamac, IN 46996 Phone: 574-946-7900 Fax: 574-946-7936 | |
Nadine Alene Nufer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Hospital Dr, Winamac, IN 46996 Phone: 574-946-2194 | |
Whitney Dawn Scheffer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Hospital Dr, Winamac, IN 46996 Phone: 574-946-2194 | |
Alexa Good, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Hospital Dr, Winamac, IN 46996 Phone: 574-946-2194 | |
Rebecca Marie Anderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Hospital Dr, Winamac, IN 46996 Phone: 574-946-2194 | |
Taylor Gibson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Hospital Dr, Winamac, IN 46996 Phone: 574-946-2194 |