| Robert L Johnson, PAC | |
|
3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | |
| (248) 898-5000 | |
| Not Available |
| Full Name | Robert L Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 3601 W 13 Mile Rd, Royal Oak, 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 |
|---|---|---|---|
| 1578510541 | NPI | - | NPPES |
| 1037737 | Other | MI | NCCPA CERTIFICATE NUMBER |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health Providence Southfield Hospital | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health Providence Hospital | 6103738703 | 364 |
| Entity Name | Henry Ford Health Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
| Entity Name | Henry Ford Health Macomb Oakland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176472 PECOS PAC ID: 7315859725 Enrollment ID: O20031107000047 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Johnson, PAC 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1848 | Robert L Johnson, PAC 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-5000 |
Catherine Lee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2481 |
Jenna Rayis, M.S., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1017 Orchard Grove Dr, Royal Oak, MI 48067 Phone: 248-836-8764 |
Mrs. Garwai Chan Insco, M.S PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-4021 Fax: 248-898-1473 |
Mrs. Inge Maria Hanschu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 413 Park Ave, Royal Oak, MI 48067 Phone: 586-781-0497 |
Meredith Lynne Moran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30575 Woodward Ave, Royal Oak, MI 48073 Phone: 248-280-8550 Fax: 844-266-0093 |
Amanda Mary Thompson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-4021 |
Ms. Miranda Leah Katty, M.S. PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3577 W 13 Mile Rd Ste 202a, Royal Oak, MI 48073 Phone: 248-551-0669 Fax: 248-551-0058 |