| Kevrin J Johnson, PA-C | |
|
107 E Mcclanahan St, Oxford, NC 27565-2919 | |
| (919) 690-8588 | |
| (919) 313-1276 |
| Full Name | Kevrin J Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 107 E Mcclanahan St, Oxford, North Carolina |
| 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 |
|---|---|---|---|
| 1841373958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-03936 (North Carolina) | Primary |
| 106H00000X | Marriage & Family Therapist | 5931994-3902 (Utah) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maria Parham Medical Center | Henderson, NC | Hospital |
| Granville Health Systems | Oxford, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergeortho Pa | 0749188894 | 726 |
| Entity Name | Emergeortho PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20040109000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevrin J Johnson, PA-C 120 William Penn Plz, Durham, NC 27704-2150 Ph: (919) 220-5255 | Kevrin J Johnson, PA-C 107 E Mcclanahan St, Oxford, NC 27565-2919 Ph: (919) 690-8588 |
Kakeasha Shanika Richardson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Professional Park, Oxford, NC 27565 Phone: 919-693-6541 Fax: 919-693-7396 |
Meagan Leigh Fana, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Mcclanahan St, Oxford, NC 27565 Phone: 919-690-8588 Fax: 919-603-0545 |
Mr. Ted S Carteaux Iii, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1032 College St, Oxford, NC 27565 Phone: 919-693-6541 Fax: 919-693-7396 |
Amanda Ruby Nettles, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1614 Williamsboro St, Oxford, NC 27565 Phone: 919-339-4077 |
Joseph William Rozmus Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Mcclanahan St, Oxford, NC 27565 Phone: 919-690-8588 |
Allison S Edwards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Mcclanahan St, Oxford, NC 27565 Phone: 919-690-8588 Fax: 919-313-1276 |
Braxton Kinsey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1490 Williamsboro St, Oxford, NC 27565 Phone: 919-693-3972 Fax: 919-693-1700 |