| Mr Wilton Edward Johns Ii, | |
|
1641 Lancing Dr Apt 274, Salem, VA 24153-7550 | |
| (804) 840-6779 | |
| Not Available |
| Full Name | Mr Wilton Edward Johns Ii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1641 Lancing Dr Apt 274, Salem, Virginia |
| 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 |
|---|---|---|---|
| 1962285858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 0024189933 (Virginia) | Primary |
| 163W00000X | Registered Nurse | 0001260934 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lewisgale Hospital Pulaski | Pulaski, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Murray E Joiner Jr Md Pc | 4284637695 | 17 |
| Good Samaritan Hospice Inc | 2264430966 | 5 |
| Entity Name | Good Samaritan Hospice Inc |
|---|---|
| Entity Type | Part B Supplier - Other Medical Care Group |
| Entity Identifiers | NPI Number: 1548268923 PECOS PAC ID: 2264430966 Enrollment ID: O20200922002953 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wilton Edward Johns Ii, 1641 Lancing Dr Apt 274, Salem, VA 24153-7550 Ph: (804) 840-6779 | Mr Wilton Edward Johns Ii, 1641 Lancing Dr Apt 274, Salem, VA 24153-7550 Ph: (804) 840-6779 |
Tanya Willard, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Mrs. Elizabeth Black O'connor, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Megan Smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 | |
Matthew Bailey, ACNP, FNP, ENP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-776-4000 | |
Deborah Edwards Davis, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 Fax: 540-725-5012 | |
Mrs. Greta Pablo Estacio, RN,MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-224-1937 | |
Miss Kimberly Charise Martin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3400 |