| Joshua R Johnson, PA | |
|
400 S. Kennedy, Bradley, IL 60915 | |
| (815) 928-8050 | |
| (800) 505-2218 |
| Full Name | Joshua R Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 400 S. Kennedy, Bradley, Illinois |
| 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 |
|---|---|---|---|
| 1376840421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 085003901 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kona Community Hospital | Kealakekua, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alii Health Center | 4486984549 | 50 |
| Entity Name | Alii Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285107698 PECOS PAC ID: 4486984549 Enrollment ID: O20191002003639 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua R Johnson, PA 400 S Kennedy Dr, Bradley, IL 60915-2682 Ph: (815) 928-8050 | Joshua R Johnson, PA 400 S. Kennedy, Bradley, IL 60915 Ph: (815) 928-8050 |
Kristin L Fields, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr, Bradley, IL 60915 Phone: 815-928-0860 Fax: 800-505-2218 |
Leslie D Yeates, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 South Kennedy Dr, Bradley, IL 60915 Phone: 815-928-8050 Fax: 815-928-9858 |
Mrs. Shannon L Trunk - Brokop, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 S Kennedy Dr, Ste 900, Bradley, IL 60915 Phone: 815-932-3132 Fax: 815-932-2397 |
Mr. Jonathan Eric Jusko, RN, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr, Suite 100, Bradley, IL 60915 Phone: 815-928-8060 Fax: 800-505-2218 |
Heidi Kathleen Hynes Nuttall, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Kennedy Dr, Ste 100, Bradley, IL 60915 Phone: 815-928-8050 |
Mr. Kyle A Denny, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 S Kennedy Dr Ste 700, Bradley, IL 60915 Phone: 815-935-7532 Fax: 815-933-7495 |
Adriana Lingl, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr, Suite 100, Bradley, IL 60915 Phone: 815-928-8060 Fax: 800-505-2218 |