| Michael Ryan Johnson, DPM | |
|
200 Clinic Dr, Madisonville, KY 42431-1661 | |
| (270) 825-7258 | |
| (270) 825-7357 |
| Full Name | Michael Ryan Johnson |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 12 Years |
| Location | 200 Clinic Dr, Madisonville, Kentucky |
| 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 |
|---|---|---|---|
| 1730422791 | NPI | - | NPPES |
| K212370 | Other | KY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00460 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
| Metro Health Hospital | Wyoming, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Health/saint Mary's Medical Group | 4082807961 | 448 |
| Provider Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Ryan Johnson, DPM 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7258 | Michael Ryan Johnson, DPM 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7258 |
Quinn Michael Schroeder, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7258 Fax: 270-643-4271 | |
Walker Lee Estes, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7258 | |
Nathan P. Lesueur, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 510 Ruby Dr, Madisonville, KY 42431 Phone: 270-399-7900 Fax: 270-399-7910 |