| Holly Johnson, | |
|
3409 Ludington St, Suite 100, Escanaba, MI 49829-4212 | |
| (906) 789-4414 | |
| Not Available |
| Full Name | Holly Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 3409 Ludington St, Escanaba, Michigan |
| 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 |
|---|---|---|---|
| 1124475058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704278219 (Michigan) | Primary |
| 163W00000X | Registered Nurse | 4704278219 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Saint Francis Hospital | Escanaba, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Francis Hospital | 5991604753 | 85 |
| Schoolcraft Memorial Hospital | 4082525118 | 30 |
| Entity Name | St Francis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700828837 PECOS PAC ID: 5991604753 Enrollment ID: O20031231000428 |
| Entity Name | Schoolcraft Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700805157 PECOS PAC ID: 4082525118 Enrollment ID: O20061104000240 |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20151204000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Johnson, 3409 Ludington St, Suite 100, Escanaba, MI 49829-4212 Ph: (906) 789-4414 | Holly Johnson, 3409 Ludington St, Suite 100, Escanaba, MI 49829-4212 Ph: (906) 789-4414 |
Ashlee Laplant, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 S Lincoln Rd Ste 100, Escanaba, MI 49829 Phone: 906-786-4862 |
Stacey Lynn Cole, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3409 Ludington St Ste 104, Escanaba, MI 49829 Phone: 906-786-8343 |
Mary R Kidd, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 S Lincoln Rd, Escanaba, MI 49829 Phone: 906-786-6488 Fax: 906-786-6409 |
Michaela Jo Nelson, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 7th Ave S Ste 100, Escanaba, MI 49829 Phone: 906-786-6441 |
Dr. Travis Edward Fairbanks, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3401 Ludington St, Escanaba, MI 49829 Phone: 906-786-5707 |
Bobbi Vandamme, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3409 Ludington St Ste 100, Escanaba, MI 49829 Phone: 906-399-4450 |
Rhian E Dalgord, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3409 Ludington St Ste 100, Escanaba, MI 49829 Phone: 906-789-4414 Fax: 906-789-4406 |