| Jeffrey Johnson, PA-C | |
|
7425 Janes Ave, Woodridge, IL 60517-2356 | |
| (708) 550-7005 | |
| Not Available |
| Full Name | Jeffrey Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 7425 Janes Ave, Woodridge, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063886935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 085.005650 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | PA61271444 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uw Health | Rockford, IL | Hospital |
| Saint Anthony Medical Center | Rockford, IL | Hospital |
| Advocate Good Samaritan Hospital | Downers grove, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swedishamerican Hospital | 5799698346 | 386 |
| Ascend Medical Inc | 9739586421 | 3 |
| Entity Name | Swedishamerican Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
| Entity Name | Ascend Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053988337 PECOS PAC ID: 9739586421 Enrollment ID: O20210922003139 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Johnson, PA-C Po Box 5127, Everett, WA 98206-5127 Ph: (425) 304-8476 | Jeffrey Johnson, PA-C 7425 Janes Ave, Woodridge, IL 60517-2356 Ph: (708) 550-7005 |
Mr. Jason Menno Maddela, SURGICAL ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2538 Ravinia Ln, Woodridge, IL 60517 Phone: 708-205-7678 |
Shannon M Krippinger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3329 75th St, Woodridge, IL 60517 Phone: 630-646-7000 |
Sara Nannette Chabra, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7425 Janes Ave, Woodridge, IL 60517 Phone: 815-300-7764 |
Theresa Harrington, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3329 75th St Lowr Level, Woodridge, IL 60517 Phone: 630-646-7000 |
Mikayla Sanford, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6520 Double Eagle Dr Unit 620, Woodridge, IL 60517 Phone: 773-865-5414 |
Shannon L Morrow, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6440 Main Street, Suite 120, Woodridge, IL 60517 Phone: 630-633-1229 Fax: 708-482-3230 |
Julianne Marie Iandoli, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6305 Greene Rd, Woodridge, IL 60517 Phone: 630-408-8469 |