| Denise Johnson, | |
|
115 Bolyn Ct, Mullins, SC 29574-2212 | |
| (843) 731-7463 | |
| Not Available |
| Full Name | Denise Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 115 Bolyn Ct, Mullins, South Carolina |
| 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 |
|---|---|---|---|
| 1417507526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F11180248 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Mcleod Health Cheraw | Cheraw, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcleod Regional Medical Center Of The Pee Dee, Inc | 7416851852 | 401 |
| Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154371433 PECOS PAC ID: 7416851852 Enrollment ID: O20031126000251 |
| Entity Name | Mcleod Physician Associates Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Johnson, 115 Bolyn Ct, Mullins, SC 29574-2212 Ph: () - | Denise Johnson, 115 Bolyn Ct, Mullins, SC 29574-2212 Ph: (843) 731-7463 |
Linda J Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3032 E Highway 76, Mullins, SC 29574 Phone: 843-292-7333 Fax: 843-292-7324 | |
Julianna Maynor, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2845 E Highway 76, Suite 5, Mullins, SC 29574 Phone: 843-431-2650 Fax: 843-431-2647 | |
Tony Lucas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-431-2000 | |
Mary Elizabeth Holland, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2829 East Us-76, Mullins, SC 29574 Phone: 843-431-2000 | |
Donna Lewis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5401 Fairview Rd, Mullins, SC 29574 Phone: 843-496-8443 | |
Inyene Sunday Amos, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2829 East Us 76, Mullins, SC 29574 Phone: 843-792-1414 | |
Tammy P Ward, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2845 E Highway 76, Suite 4, Mullins, SC 29574 Phone: 843-431-2720 Fax: 843-431-2726 |