| Tim R Johnson, PAC | |
|
145 Inverness Dr E Ste 220, Englewood, CO 80112-5172 | |
| (303) 699-7325 | |
| (303) 699-5486 |
| Full Name | Tim R Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 145 Inverness Dr E Ste 220, Englewood, Colorado |
| 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 |
|---|---|---|---|
| 1841234515 | NPI | - | NPPES |
| 94559813 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9119586 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA.0002277 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Cross Hospital | Fort lauderdale, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holy Cross Urgent Care | 7618389248 | 11 |
| Baptist Outpatient Services Inc | 6002807385 | 198 |
| Entity Name | Baptist Outpatient Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437127529 PECOS PAC ID: 6002807385 Enrollment ID: O20040527000618 |
| Entity Name | Holy Cross Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144824699 PECOS PAC ID: 7618389248 Enrollment ID: O20201223001274 |
| Mailing Address | Practice Location Address |
|---|---|
| Tim R Johnson, PAC 770 W Granada Blvd Ste 101, Ormond Beach, FL 32174-5179 Ph: (386) 231-4519 | Tim R Johnson, PAC 145 Inverness Dr E Ste 220, Englewood, CO 80112-5172 Ph: (303) 699-7325 |
Mrs. Stacy Maxwell Beharry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 799 E Hampden Ave, Sute 400, Englewood, CO 80113 Phone: 303-789-2663 Fax: 303-788-4871 |
Natalie Lucille Tannenbaum, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3501 S Clarkson St, Englewood, CO 80113 Phone: 303-783-8844 |
Terra Lynn Bookout, MS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 125 Inverness Dr E, Suite 240, Englewood, CO 80112 Phone: 720-863-1004 |
Mr. John Edward Marquez, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3330 S Broadway, Unit 566, Englewood, CO 80151 Phone: 303-668-5231 Fax: 720-920-9791 |
Claire Sakamoto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 E Hampden Ave, Englewood, CO 80113 Phone: 303-788-6911 Fax: 303-788-5078 |
Matthew Truitte, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 499 E Hampden Ave Ste 200, Englewood, CO 80113 Phone: 303-705-2002 Fax: 303-954-4506 |
Ashley Watchek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 499 E Hampden Ave Ste 360, Englewood, CO 80113 Phone: 303-781-4485 |