| Dr Michael Alan Johnson, DPM | |
|
108 Lynch Creek Way, Suite 3, Petaluma, CA 94954 | |
| (707) 763-2253 | |
| (707) 763-7030 |
| Full Name | Dr Michael Alan Johnson |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 36 Years |
| Location | 108 Lynch Creek Way, Petaluma, California |
| 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 |
|---|---|---|---|
| 1205847209 | NPI | - | NPPES |
| 480027344 | Other | CA | RAILROAD MEDICARE |
| 000E36712 | Other | CA | MEDICAL |
| 000E36712 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E3671 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Petaluma Valley Hospital | Petaluma, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1329 |
| Provider Name | Providence Medical Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Alan Johnson, DPM 108 Lynch Creek Way, Suite 3, Petaluma, CA 94954 Ph: (707) 763-2253 | Dr Michael Alan Johnson, DPM 108 Lynch Creek Way, Suite 3, Petaluma, CA 94954 Ph: (707) 763-2253 |
Dr. Ronald M Lavigna, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1400 Professional Drive, Suite 102, Petaluma, CA 94954 Phone: 707-769-8481 Fax: 707-769-0751 | |
Mrs. Rochelle Lenore Bomar, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 231 N Mcdowell Blvd, Suite D, Petaluma, CA 94954 Phone: 707-763-4343 Fax: 707-283-4663 | |
Don Markley Griffith, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 108 Lynch Creek Wy, #3, Petaluma, CA 94954 Phone: 707-763-2253 Fax: 707-763-7030 | |
Dr. Peter Redko, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1400 Professional Drive, Suite 102, Petaluma, CA 94954 Phone: 707-769-8481 Fax: 707-769-0751 | |
North Bay Foot & Ankle Center Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1400 Professional Dr, # 102, Petaluma, CA 94954 Phone: 707-769-8481 Fax: 707-769-0751 |