Alex R Johnson, MD | |
1318 Kansas Dr, Paola, KS 66071-2107 | |
(913) 557-5678 | |
(913) 557-5681 |
Full Name | Alex R Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 1318 Kansas Dr, Paola, Kansas |
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 |
---|---|---|---|
1467986307 | NPI | - | NPPES |
30004763240001 | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 04-45104 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Angels Care Home Health | Chanute, KS | Home health agency |
Miami County Medical Center | Paola, KS | Hospital |
Olathe Medical Center | Olathe, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Miami County Medical Center Inc | 2163311457 | 21 |
Entity Name | Miami County Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881742807 PECOS PAC ID: 2163311457 Enrollment ID: O20041021000422 |
Mailing Address | Practice Location Address |
---|---|
Alex R Johnson, MD 1318 Kansas Dr, Paola, KS 66071-2107 Ph: (913) 557-5678 | Alex R Johnson, MD 1318 Kansas Dr, Paola, KS 66071-2107 Ph: (913) 557-5678 |
Dr. Donald E Banks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Baptiste Dr Ste A, Paola, KS 66071 Phone: 913-294-2305 Fax: 913-294-3144 | |
Eric Lee Dyck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2102 Baptiste Dr, Paola, KS 66071 Phone: 913-557-5678 Fax: 913-557-5681 | |
Dr. Mark Richard Holscher, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 609 E Miami St, Paola, KS 66071 Phone: 913-731-6334 Fax: 913-294-2258 | |
Elizabeth J Petelin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1318 Kansas Dr, Paola, KS 66071 Phone: 913-557-5678 Fax: 913-557-5681 |