| Kenneth Swanson, NP | |
|
925 Village Hwy, Rustburg, VA 24588-4591 | |
| (434) 332-7367 | |
| (434) 332-1757 |
| Full Name | Kenneth Swanson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 925 Village Hwy, Rustburg, Virginia |
| 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 |
|---|---|---|---|
| 1659350544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024000007 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Johnson Health Center | 9537060413 | 36 |
| Entity Name | Johnson Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316926538 PECOS PAC ID: 9537060413 Enrollment ID: O20040709000047 |
| Entity Name | Johnson Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821212481 PECOS PAC ID: 9537060413 Enrollment ID: O20180308000764 |
| Entity Name | Johnson Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881102655 PECOS PAC ID: 9537060413 Enrollment ID: O20181026000591 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Swanson, NP 925 Village Hwy, Rustburg, VA 24588-4591 Ph: (434) 332-7367 | Kenneth Swanson, NP 925 Village Hwy, Rustburg, VA 24588-4591 Ph: (434) 332-7367 |
Ruth Patterson, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-455-2480 | |
Kelly Leslie, APRN-FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-929-1400 | |
Tamara Tinnin, DNP APRN CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-455-2480 | |
Mrs. Angela Faye Martin, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-455-2480 | |
Sabrina Perrow, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 422 Lynbrook Rd, Rustburg, VA 24588 Phone: 434-401-5331 |