| Samantha Ann Johnsen, | |
|
400 Renaissance Ctr, Detroit, MI 48243-1502 | |
| (888) 731-8994 | |
| Not Available |
| Full Name | Samantha Ann Johnsen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 400 Renaissance Ctr, Detroit, Michigan |
| 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 |
|---|---|---|---|
| 1215595640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 386709 (Nevada) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | RN71057 (Nevada) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Medical Center - Neenah Inc | Neenah, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Womens Health Specialists Sc | 8628044138 | 27 |
| Entity Name | Womens Health Specialists SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417086216 PECOS PAC ID: 8628044138 Enrollment ID: O20040907000791 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Ann Johnsen, 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV 89148-1319 Ph: (702) 330-3102 | Samantha Ann Johnsen, 400 Renaissance Ctr, Detroit, MI 48243-1502 Ph: (888) 731-8994 |
Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822 |
Jaina Sabu Samuel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 |
Caitlin N Yoder, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 Phone: 888-731-8994 |
Mikayla William, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Amber Marroquin, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 |
Michelle M Wojek, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Renaissance Ctr, Suite 2066, Detroit, MI 48243 Phone: 888-731-8994 |
Tiwanna Jeaninne Williams, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12121 Broadstreet Ave, Detroit, MI 48204 Phone: 313-824-1000 |