| Michael Johnson, PA | |
|
840 E Hill Ave, Moses Lake, WA 98837-2238 | |
| (509) 663-8711 | |
| Not Available |
| Full Name | Michael Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 840 E Hill Ave, Moses Lake, Washington |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669931705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 184444 (Alaska) | Secondary |
| 363A00000X | Physician Assistant | PA61018488 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oregon Coast Home Health | Coos bay, OR | Home health agency |
| Bay Area Hospital | Coos bay, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Waterfall Clinic Incorporated | 5698740355 | 16 |
| Entity Name | Waterfall Clinic Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619915113 PECOS PAC ID: 5698740355 Enrollment ID: O20040827000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Johnson, PA 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 | Michael Johnson, PA 840 E Hill Ave, Moses Lake, WA 98837-2238 Ph: (509) 663-8711 |
Chloe Noel Kesterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 |
Joseph Hancock, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9789 Fax: 509-764-3266 |
Elizabeth Mcgraw, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18 Pelican Pl Ne, Moses Lake, WA 98837 Phone: 509-750-5843 |
Tracy L Estrellado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 |
Ms. Jennipher Colas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 |
Corbin Moberg, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-793-9785 Fax: 509-764-0344 |
Mitchell David Valente, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9790 Fax: 509-764-3244 |