Marla Smith Johnson, APRN | |
900 Medical Village Dr, Medi, Edgewood, KY 41017 | |
(859) 331-0774 | |
(859) 578-3800 |
Full Name | Marla Smith Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 900 Medical Village Dr, Edgewood, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104821982 | NPI | - | NPPES |
P00942703 | Other | KY | RAIL ROAD MEDICARE |
P00954941 | Other | KY | RAIL ROAD MEDDICARE |
0052920 | Medicaid | OH | |
500023900 | Other | PALMETTO GBA-RAILROAD MEDICARE | |
78006681 | Medicaid | KY | |
000000225922 | Other | ANTHEM | |
201127110 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3003587 (Kentucky) | Primary |
Entity Name | Summit Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881026169 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Marla Smith Johnson, APRN Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 331-0774 | Marla Smith Johnson, APRN 900 Medical Village Dr, Medi, Edgewood, KY 41017 Ph: (859) 331-0774 |
Deborah Elaine Bliss, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, St. Elizabeth Healthcare, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-301-6900 | |
Lyndsey Lang, MS, RN, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2423 Fax: 859-301-2554 | |
Mrs. Anita Kay Phillips, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 | |
Kristin Legrand, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2250 | |
Louise M Cortland, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-757-2927 Fax: 859-341-0203 | |
Alexandra Michelle Wiesner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-426-4140 | |
Deanna Lynne Winter, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Medical Village Drive, Edgewood, KY 41017 Phone: 859-331-3353 Fax: 859-331-3326 |