Andrew Robert Johnson, MD | |
4218 Lincolnshire Dr, Mount Vernon, IL 62864-2156 | |
(618) 242-8480 | |
(618) 242-8499 |
Full Name | Andrew Robert Johnson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 26 Years |
Location | 4218 Lincolnshire Dr, Mount Vernon, Illinois |
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 |
---|---|---|---|
1164418943 | NPI | - | NPPES |
036121708 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 28808 (Mississippi) | Secondary |
208600000X | Surgery | 036121708 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anna Hospital Corporation D/b/a Union County Hospital | Anna, IL | Hospital |
Heartland Regional Medical Center | Marion, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 77 |
Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
Mailing Address | Practice Location Address |
---|---|
Andrew Robert Johnson, MD 4218 Lincolnshire Dr, Po Box 968, Mount Vernon, IL 62864-2156 Ph: (618) 242-8480 | Andrew Robert Johnson, MD 4218 Lincolnshire Dr, Mount Vernon, IL 62864-2156 Ph: (618) 242-8480 |
Naresh Kumar Ahuja, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4230 Lincolnshire Dr Ste A, Mount Vernon, IL 62864 Phone: 618-315-6466 Fax: 618-315-6469 | |
Kevin B Claffey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 | |
Mr. Steven J Clark, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864 Phone: 618-899-3980 Fax: 618-899-4793 | |
Kimberly Evonne Miller-hammond, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 770-617-5556 | |
Alan Scott Harad, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 | |
Charles W Longwell Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 |