| Nathan Allen Johnson, FNP-BC | |
|
9315 Telegraph Rd, Redford, MI 48239-1260 | |
| (313) 450-4500 | |
| (313) 450-4512 |
| Full Name | Nathan Allen Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 9315 Telegraph Rd, Redford, Michigan |
| 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 |
|---|---|---|---|
| 1063024891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704298402 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lincoln Behavioral Services | 7113816612 | 21 |
| Entity Name | Lincoln Behavioral Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669451944 PECOS PAC ID: 7113816612 Enrollment ID: O20040312000689 |
| Entity Name | Family Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184677866 PECOS PAC ID: 4082600549 Enrollment ID: O20040421001391 |
| Entity Name | Myna |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396351037 PECOS PAC ID: 6406257310 Enrollment ID: O20210630000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Allen Johnson, FNP-BC 30323 Van Horn Rd, New Boston, MI 48164-9499 Ph: (734) 552-6062 | Nathan Allen Johnson, FNP-BC 9315 Telegraph Rd, Redford, MI 48239-1260 Ph: (313) 450-4500 |
Brandie Keskes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14671 Telegraph Rd, Redford, MI 48239 Phone: 313-948-3055 | |
Dr. Kelly Susewitz Shakoor, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500 | |
Alana Susick, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14671 Telegraph Rd, Redford, MI 48239 Phone: 313-948-3055 | |
Roland H Gaines Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14140 Shamrock Dr, Redford, MI 48239 Phone: 313-858-1246 | |
Alena Mheisen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14671 Telegraph Rd, Redford, MI 48239 Phone: 313-948-3055 | |
Mrs. Theresa Player Rowry, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14329 Wormer, Redford, MI 48239 Phone: 313-580-1070 |