115 VIVIAN ST.
PARK RIVER, ND 58270-4540 US PECOS Enrolled
Overview
Joel J Johnson is a Family Medicine Physician in the PARK RIVER area and has over 31 years of experience. Joel J Johnson primary office location is at 115 VIVIAN ST. and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of North Dakota School Of Medicine and graduated 1993
Joel J Johnson is affiliated with ten hospitals in the PARK RIVER area, including . The NPI number is 1528138542 and the information was updated approximately 3 years ago.
Joel J Johnson is affiliated with one medical group in the PARK RIVER area, P R HEALTH CORPORATION.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 6967 | ND |
| Board Certifications |
|---|
| Family Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 18084 | ND |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | ND | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20100708000429 |
| PECOS Individual PAC ID: | 9830220888 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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