| Mr Randy M Johnson, PA-C | |
|
2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694 | |
| (203) 281-4463 | |
| (203) 287-2930 |
| Full Name | Mr Randy M Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 2200 Whitney Avenue, Hamden, Connecticut |
| 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 |
|---|---|---|---|
| 1073787677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 002078 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1357 |
| Hhc Physician Services Pllc | 9537573357 | 140 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Entity Name | Hhc Physician Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669075610 PECOS PAC ID: 9537573357 Enrollment ID: O20210205000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Randy M Johnson, PA-C 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694 Ph: (203) 281-4463 | Mr Randy M Johnson, PA-C 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694 Ph: (203) 281-4463 |
Carly Rumanoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3588 Whitney Ave, Hamden, CT 06518 Phone: 203-288-2550 |
Nina Tufaro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 925 Mix Ave Apt 1d, Hamden, CT 06514 Phone: 631-987-5439 |
Allison Marie Wick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 Mount Carmel Ave, Hamden, CT 06518 Phone: 203-582-8200 |
Jessica Nursick, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1952 Whitney Ave, Hamden, CT 06517 Phone: 203-848-1803 |
Marcy Ann Kesilewski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 275 Mount Carmel Ave Bldg 4, Hamden, CT 06518 Phone: 203-582-8545 |
Douglas A Stitz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Whitney Ave, Suite 180, Hamden, CT 06518 Phone: 203-407-2500 Fax: 203-407-5812 |
Tiah Lanae Booker, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Mix Ave Apt 28, Hamden, CT 06514 Phone: 203-444-7019 |