| Susan-ae H Johnson, RN | |
|
1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | |
| (937) 426-2686 | |
| (937) 426-6230 |
| Full Name | Susan-ae H Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1411 N Fairfield Rd, Beavercreek, Ohio |
| 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 |
|---|---|---|---|
| 1861105389 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Woodstream Wellness | 8527462506 | 55 |
| Entity Name | Woodstream Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265001234 PECOS PAC ID: 8527462506 Enrollment ID: O20210812003526 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan-ae H Johnson, RN 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 Ph: (937) 426-2686 | Susan-ae H Johnson, RN 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 Ph: (937) 426-2686 |
Holli N Kroger, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1425 N Fairfield Rd Ste 130, Beavercreek, OH 45432 Phone: 937-320-1950 Fax: 937-320-9332 |
Carrie Steward, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2605 Greenbrier Ct, Beavercreek, OH 45431 Phone: 937-782-8103 |
Brandy L Mullett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd # 1157, Beavercreek, OH 45431 Phone: 937-702-4450 Fax: 937-702-4459 |
Nicole Buckingham, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 400, Beavercreek, OH 45431 Phone: 855-500-2873 Fax: 937-490-2267 |
Jessica Lynn Ullery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431 Phone: 937-429-7350 Fax: 937-431-2623 |
Mrs. Theresa Marie Borchers, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1331 N Fairfield Rd, Beavercreek, OH 45432 Phone: 937-426-4280 |
Laura A Knisley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd Ste 160, Beavercreek, OH 45431 Phone: 937-425-4010 |