| Courtny Johnson, | |
|
825 Chalkstone Ave, Providence, RI 02908-4728 | |
| (401) 456-2000 | |
| Not Available |
| Full Name | Courtny Johnson |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 12 Years |
| Location | 825 Chalkstone Ave, Providence, Rhode Island |
| 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 |
|---|---|---|---|
| 1093123069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | LPR00142 (Rhode Island) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtny Johnson, 825 Chalkstone Ave, Providence, RI 02908-4728 Ph: (401) 456-2000 | Courtny Johnson, 825 Chalkstone Ave, Providence, RI 02908-4728 Ph: (401) 456-2000 |
Dr. Joseph A Decesare, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 201 Broadway, Providence, RI 02903 Phone: 401-421-9167 Fax: 401-421-9193 | |
Peter J Sardella, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 235 Plain Street, Suite 201, Providence, RI 02905 Phone: 401-861-8830 Fax: 401-351-2378 | |
Rhode Island Hospital Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Providence, RI 02914 Phone: 401-606-4325 Fax: 401-444-6483 | |
Brian F Pontarelli, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 486 Silver Spring St, Providence, RI 02904 Phone: 401-751-2660 Fax: 401-751-9990 | |
Federal Hill Podiatry Group Podiatrist Medicare: Medicare Enrolled Practice Location: 201 Broadway, Providence, RI 02903 Phone: 401-421-9167 Fax: 401-421-9193 | |
Dr. Erik Haniuk, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 |