| Mr Timothy W Johnson, MS PA C | |
|
33280 Stoney Creek Ave, Seward, AK 99664-3633 | |
| (907) 224-7094 | |
| (907) 224-7094 |
| Full Name | Mr Timothy W Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 33280 Stoney Creek Ave, Seward, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184790768 | NPI | - | NPPES |
| CL3490 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 592 (Alaska) | Primary |
| Entity Name | Tanana Chiefs Conference |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821201278 PECOS PAC ID: 9537050109 Enrollment ID: O20050111000954 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy W Johnson, MS PA C Po Box 3633, Seward, AK 99664-3633 Ph: Not Available | Mr Timothy W Johnson, MS PA C 33280 Stoney Creek Ave, Seward, AK 99664-3633 Ph: (907) 224-7094 |
Diane Thompson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 3rd St. 20, Seward, AK 99664 Phone: 907-224-3490 |
Jeanette L Nienaber, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2035 Seward Hwy, Seward, AK 99664 Phone: 907-224-3490 Fax: 907-802-4436 |
Lori Landstrom, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 3rd Avenue, Suite 201, Seward, AK 99664 Phone: 907-224-3490 Fax: 907-224-5870 |
Brent Alan Ursel, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11724 Seward Hwy, Ste D, Seward, AK 99664 Phone: 907-224-8733 Fax: 907-224-8734 |
Mrs. Rebecca Ivry Moore, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 3rd Ave, Suite 201, Seward, AK 99664 Phone: 907-224-4916 Fax: 907-224-5870 |
Mr. David W Norcross, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: Spring Creek Correctional Center. Betty Cato Drive, Mile 5 Nash Road, Seward, AK 99664 Phone: 190-722-4837 Fax: 190-722-4818 |