Alan Johnson, MD | |
1 Memorial Dr, Alton, IL 62002-6722 | |
(618) 463-7311 | |
Not Available |
Full Name | Alan Johnson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Memorial Dr, Alton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326065962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036-089660 (Illinois) | Primary |
207P00000X | Emergency Medicine | MD100153 (Missouri) | Secondary |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20150520001245 |
Mailing Address | Practice Location Address |
---|---|
Alan Johnson, MD 2 Greystoke Ct, Ballwin, MO 63021-4440 Ph: (636) 394-1560 | Alan Johnson, MD 1 Memorial Dr, Alton, IL 62002-6722 Ph: (618) 463-7311 |
Rodger Hanko, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 | |
Matthew E Duban, M.D., FACEP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 | |
Alexander Benjamin Zozula, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7474 | |
David Wayne Burnside, M.D., MBA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 | |
Craig Rosenberg, M.D., FACP, FACEP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 217-464-2966 | |
Carol Hurley, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 314-434-0600 |