| James Johnson, CRNA | |
|
1705 W 2nd St, Elk City, OK 73644-4455 | |
| (580) 225-2511 | |
| Not Available |
| Full Name | James Johnson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 31 Years |
| Location | 1705 W 2nd St, Elk City, Oklahoma |
| 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 |
|---|---|---|---|
| 1790755254 | NPI | - | NPPES |
| 200060570A | Medicaid | OK | |
| 53764799001 | Other | OK | BCBS |
| P00258327 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0082560 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Comanche County Memorial Hospital | Lawton, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 666 |
| Entity Name | Western Oklahoma Anesthesia Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
| Entity Name | Western Oklahoma Anesthesia Consultants Woodward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427615731 PECOS PAC ID: 3779817960 Enrollment ID: O20190621000715 |
| Mailing Address | Practice Location Address |
|---|---|
| James Johnson, CRNA Po Box 48483, Wichita, KS 67201-8483 Ph: (316) 685-6236 | James Johnson, CRNA 1705 W 2nd St, Elk City, OK 73644-4455 Ph: (580) 225-2511 |
Ms. Karrianne Lyn Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 3rd St, Elk City, OK 73644 Phone: 802-252-5115 Fax: 580-225-9143 | |
Paloma C Martinez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W 3rd St, Elk City, OK 73644 Phone: 580-225-2511 | |
Michael Haecherl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1705 W 2nd St, Elk City, OK 73644 Phone: 580-225-2511 | |
Ms. Kedrin Nicole Hodges, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1801 W 3rd St, Elk City, OK 73644 Phone: 855-285-2455 |