| Leslie Sara Johnston, N P | |
|
8601 Highway 217, Miracle, KY 40856-9096 | |
| (606) 337-5150 | |
| Not Available |
| Full Name | Leslie Sara Johnston |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 8601 Highway 217, Miracle, Kentucky |
| 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 |
|---|---|---|---|
| 1568722304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 3007327 (Kentucky) | Primary |
| 171W00000X | Contractor | 3007327 (Kentucky) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Kentucky, Pllc | 0143525998 | 213 |
| Entity Name | Southern Medical Partners, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538109962 PECOS PAC ID: 8123923679 Enrollment ID: O20031206000036 |
| Entity Name | Maria Cristina Atienza PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275543134 PECOS PAC ID: 4183526544 Enrollment ID: O20040401000040 |
| Entity Name | Williamson Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740492644 PECOS PAC ID: 5294828562 Enrollment ID: O20070831000176 |
| Entity Name | Middlesborough Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972715878 PECOS PAC ID: 9335232321 Enrollment ID: O20070907000084 |
| Entity Name | Brock Medical, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
| Entity Name | Fast Pace Kentucky, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913 |
| Entity Name | Central Ky Urgent Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023535796 PECOS PAC ID: 4183983547 Enrollment ID: O20180111000998 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Sara Johnston, N P 8601 Highway 217, Miracle, KY 40856-9096 Ph: (606) 337-5150 | Leslie Sara Johnston, N P 8601 Highway 217, Miracle, KY 40856-9096 Ph: (606) 337-5150 |