| Michael W Johnson, CFNP | |
|
62 Highway 587, Foxworth, MS 39483-5026 | |
| (601) 424-3540 | |
| Not Available |
| Full Name | Michael W Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 62 Highway 587, Foxworth, Mississippi |
| 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 |
|---|---|---|---|
| 1033223995 | NPI | - | NPPES |
| 640507572ND | Other | MS | AMERICAN ADMIN GROUP |
| 00122096 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R850442 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health-home Health & Hospice | Hattiesburg, MS | Home health agency |
| Marion General Hospital | Columbia, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Clinic At Farmers Medshoppe | 2466584982 | 2 |
| Entity Name | The Clinic At Farmers Medshoppe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487972568 PECOS PAC ID: 2466584982 Enrollment ID: O20100720000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W Johnson, CFNP Po Box 669, Foxworth, MS 39483-0669 Ph: (601) 424-3540 | Michael W Johnson, CFNP 62 Highway 587, Foxworth, MS 39483-5026 Ph: (601) 424-3540 |
Katherine Ward, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 762 Ranch Rd, Foxworth, MS 39483 Phone: 251-680-7261 | |
Lloyd Clifton Stringer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 527 New Hope Kokomo Rd, Foxworth, MS 39483 Phone: 601-520-2596 | |
Brittney Evette Bracey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Pine Grove Church Rd, Foxworth, MS 39483 Phone: 601-731-4504 | |
Jackie B Stuckey, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Highway 587, Foxworth, MS 39483 Phone: 601-424-3540 Fax: 601-424-3544 |