| Mrs Alicia L Johnson, FNP-C | |
|
5566 Jordan Rd, Elbridge, NY 13060-9617 | |
| (315) 689-1833 | |
| (315) 389-1834 |
| Full Name | Mrs Alicia L Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 5566 Jordan Rd, Elbridge, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003563768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F347820 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Auburn Community Hospital | Auburn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Familycare Medical Group Pc | 5193639565 | 107 |
| Entity Name | Familycare Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447212063 PECOS PAC ID: 5193639565 Enrollment ID: O20031119000053 |
| Entity Name | Auburn Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093712911 PECOS PAC ID: 2365346525 Enrollment ID: O20031120000617 |
| Entity Name | Auburn Memorial Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194913749 PECOS PAC ID: 6406931385 Enrollment ID: O20080318000053 |
| Entity Name | Auburn Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336855683 PECOS PAC ID: 2365346525 Enrollment ID: O20230516002638 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Alicia L Johnson, FNP-C 1001 W Fayette St Ste 400, Syracuse, NY 13204-2866 Ph: (315) 937-3026 | Mrs Alicia L Johnson, FNP-C 5566 Jordan Rd, Elbridge, NY 13060-9617 Ph: (315) 689-1833 |
Nicholas Scot Gilfus, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 247 E Main St, Elbridge, NY 13060 Phone: 315-689-0001 Fax: 315-277-5311 | |
Erin Calhoun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5566 Jordan Rd, Elbridge, NY 13060 Phone: 315-689-1833 |