| Kevin Michael Johnson, FNP | |
|
18341 Us Highway 41, Lanse, MI 49946-8024 | |
| (906) 524-3300 | |
| Not Available |
| Full Name | Kevin Michael Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 18341 Us Highway 41, Lanse, Michigan |
| 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 |
|---|---|---|---|
| 1952961567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F06190459 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Up Health System Portage | Hancock, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lac Vieux Desert Band Of Lake Superior Chippewa Indians | 2567629181 | 15 |
| Portage Physician Practices Inc | 6103053509 | 48 |
| Entity Name | Lac Vieux Desert Band Of Lake Superior Chippewa Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114071578 PECOS PAC ID: 2567629181 Enrollment ID: O20160104002159 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Michael Johnson, FNP 47307 Larson Rd, Atlantic Mine, MI 49905-9203 Ph: (906) 281-2186 | Kevin Michael Johnson, FNP 18341 Us Highway 41, Lanse, MI 49946-8024 Ph: (906) 524-3300 |
Jeffrey S Dauphinais, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18341 Us Highway 41, Lanse, MI 49946 Phone: 906-524-6118 Fax: 906-524-6218 | |
Leanna Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18341 Us Highway 41, Lanse, MI 49946 Phone: 906-524-6118 | |
Dr. Allyssa C Sweers, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18341 Us Highway 41, Lanse, MI 49946 Phone: 906-524-3300 |