| Mr Gregory J Johnson, | |
|
3801 Spring St, Mount Pleasant, WI 53405 | |
| (262) 687-4011 | |
| Not Available |
| Full Name | Mr Gregory J Johnson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 3801 Spring St, Mount Pleasant, Wisconsin |
| 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 |
|---|---|---|---|
| 1477031557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 243351-30 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11020093 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morton Plant Mease Healthcare Countryside | Safety harbor, FL | Hospital |
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Racine Anesthesia Services Llc | 8628103777 | 68 |
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Racine Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467782748 PECOS PAC ID: 8628103777 Enrollment ID: O20100316000106 |
| Entity Name | Anesthesia Partners Services Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861810947 PECOS PAC ID: 4082832514 Enrollment ID: O20140826000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory J Johnson, Po Box 322, Port Sanilac, MI 48469-0322 Ph: (810) 300-8595 | Mr Gregory J Johnson, 3801 Spring St, Mount Pleasant, WI 53405 Ph: (262) 687-4011 |
Alexis Marie Ventura, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 262-857-5000 | |
Maggie A Raskin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 | |
Mr. Tyler Shea Hensley, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4048 | |
Mr. Jeffrey Thomas Vaughan Kroeger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 262-799-8700 | |
Tony Flores Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 412-937-5000 | |
Dr. Robert Marsh, DNP, CRNA, APNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 262-799-8700 |