| Kayla Mccroskey Johnson, | |
|
1934 Leatherwood Ln, Bluefield, VA 24605-2019 | |
| (762) 596-6735 | |
| Not Available |
| Full Name | Kayla Mccroskey Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1934 Leatherwood Ln, Bluefield, Virginia |
| 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 |
|---|---|---|---|
| 1104442250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 105609 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024179198 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clinch Valley Medical Center | Richlands, VA | Hospital |
| Princeton Community Hospital | Princeton, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinch Professional Physician Services Llc | 9436259223 | 39 |
| Entity Name | Clinch Professional Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609994284 PECOS PAC ID: 9436259223 Enrollment ID: O20070709000505 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Mccroskey Johnson, Po Box 247, Boissevain, VA 24606-0247 Ph: () - | Kayla Mccroskey Johnson, 1934 Leatherwood Ln, Bluefield, VA 24605-2019 Ph: (762) 596-6735 |
Michelle B Caskey, APRN, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 S College Ave, Bluefield, VA 24605 Phone: 276-326-2276 | |
Shelley D Rowan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4003 College Ave, Bluefield, VA 24605 Phone: 276-322-2085 | |
Cathy Lynn Bryson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Huffard Dr, Bluefield, VA 24605 Phone: 276-322-5732 Fax: 276-322-4640 | |
Whitney Rose, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 S College Ave, Bluefield, VA 24605 Phone: 276-326-3376 | |
Mrs. April Renee Neely, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 S College Ave, Bluefield, VA 24605 Phone: 276-326-3376 Fax: 276-326-2141 | |
Carolyn Lundy King, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Westwood Cmn # A, Bluefield, VA 24605 Phone: 276-235-6232 Fax: 276-250-5117 |