| Nancy Moe Johnson, PA | |
|
1905 E Huebbe Pkwy, Beloit Clinic, Beloit, WI 53511-1842 | |
| (608) 364-1460 | |
| (608) 363-7317 |
| Full Name | Nancy Moe Johnson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 1905 E Huebbe Pkwy, Beloit, Wisconsin |
| 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 |
|---|---|---|---|
| 1417262528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 3203 (Colorado) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2640-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Walworth Hospital & Medical Center | Lake geneva, WI | Hospital |
| Mercy Health System Corp | Janesville, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 749 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Beloit Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679616361 PECOS PAC ID: 8224947858 Enrollment ID: O20031215000424 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1699728550 PECOS PAC ID: 7416860440 Enrollment ID: O20210611000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Moe Johnson, PA 1905 E Huebbe Pkwy, Beloit Health System Inc, Beloit, WI 53511-1842 Ph: (608) 364-2293 | Nancy Moe Johnson, PA 1905 E Huebbe Pkwy, Beloit Clinic, Beloit, WI 53511-1842 Ph: (608) 364-1460 |
Morgan Nicole Mcentire, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3005 S Riverside Dr Ste 101, Beloit, WI 53511 Phone: 608-365-7200 |
Stacy Heitz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5011 |
Vicki P. Smythe, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 74 Eclipse Ctr, Beloit, WI 53511 Phone: 608-361-0311 Fax: 608-361-0312 |
Stephanie M Lake-melton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 74 Eclipse Ctr, Beloit, WI 53511 Phone: 608-361-0331 |
Colleen E Wolf, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2810 Kennedy Dr, Beloit, WI 53511 Phone: 608-361-5872 Fax: 608-365-5980 |
Mr. Curtis Seiler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5011 |
Kelsey Lee Beaumont, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1905 E Huebbe Pkwy, Beloit, WI 53511 Phone: 608-364-2200 |