Alan Charles Johnston, MD | |
1300 Braden St, Jacksonville, AR 72076-3719 | |
(501) 985-5900 | |
(501) 985-6016 |
Full Name | Alan Charles Johnston |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1300 Braden St, Jacksonville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679579650 | NPI | - | NPPES |
143719001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E2645 (Arkansas) | Primary |
Entity Name | Arkansas Central Primary Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396996740 PECOS PAC ID: 8729142682 Enrollment ID: O20090127000115 |
Entity Name | Youth Home Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942266879 PECOS PAC ID: 4789806431 Enrollment ID: O20141112001724 |
Mailing Address | Practice Location Address |
---|---|
Alan Charles Johnston, MD Po Box 309, Jacksonville, AR 72078-0309 Ph: (501) 985-5900 | Alan Charles Johnston, MD 1300 Braden St, Jacksonville, AR 72076-3719 Ph: (501) 985-5900 |
Dr. George Thompson Gray Iii, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Braden St, Emergency Dept, Jacksonville, AR 72076 Phone: 501-985-7000 | |
Miriam Gwenyth Morse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016 | |
Cameron Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6022 | |
Sridhar Reddy Madgula, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 W Main St, Jacksonville, AR 72076 Phone: 501-982-2108 Fax: 501-982-4951 | |
Dr. John Daugherty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Braden St, Jacksonville, AR 72076 Phone: 501-982-0576 Fax: 501-982-0041 | |
Robert Ross Ritchie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016 | |
Richard Lee Hayes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016 |