Alfred Darrell Johnson, MD | |
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
(573) 635-5264 | |
(573) 634-7423 |
Full Name | Alfred Darrell Johnson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 16 Years |
Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
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 |
---|---|---|---|
1396900510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2012012471 (Missouri) | Primary |
208000000X | Pediatrics | 2012012471 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Central Missouri Home Health | Jefferson city, MO | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson City Medical Group Pc | 1850371089 | 100 |
Entity Name | Jefferson City Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
Mailing Address | Practice Location Address |
---|---|
Alfred Darrell Johnson, MD Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 635-5264 | Alfred Darrell Johnson, MD 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-5264 |
Vineela Kasireddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1432 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-632-4800 | |
Mr. Ghulam Ghous, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 Fax: 573-634-2033 | |
Dr. Thomas W. Schneider, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-761-4351 | |
Dr. Conrad S. Balcer, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-761-4611 | |
Rolando Daniel Breier, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-893-6404 Fax: 573-893-6505 | |
Chad Zeglis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-681-3396 Fax: 573-681-3617 | |
Dr. Rodd L Hillard, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2707 W Edgewood Dr, Jefferson City, MO 65109 Phone: 573-635-0233 Fax: 573-635-7436 |