David A Johnson, MD | |
775 Pole Line Rd W, Suite 213, Twin Falls, ID 83301-5814 | |
(208) 814-8475 | |
(208) 734-4177 |
Full Name | David A Johnson |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 35 Years |
Location | 775 Pole Line Rd W, Twin Falls, Idaho |
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 |
---|---|---|---|
1922035104 | NPI | - | NPPES |
P00899554 | Other | ID | MCRR |
003760400 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 29904 (Mississippi) | Secondary |
2086S0129X | Surgery - Vascular Surgery | M6776 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Foundation Of Central Mississippi Inc | 1153216411 | 236 |
Entity Name | Medical Foundation Of Central Mississippi Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380 |
Entity Name | Mississippi Baptist Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467589556 PECOS PAC ID: 9234026600 Enrollment ID: O20110707000181 |
Mailing Address | Practice Location Address |
---|---|
David A Johnson, MD Po Box 587, Twin Falls, ID 83303-0587 Ph: (208) 814-7400 | David A Johnson, MD 775 Pole Line Rd W, Suite 213, Twin Falls, ID 83301-5814 Ph: (208) 814-8475 |
Elliot Mcnamara Adams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 213, Twin Falls, ID 83301 Phone: 208-814-8475 | |
Dr. Ronald William Blair, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 212, Twin Falls, ID 83301 Phone: 208-814-8400 Fax: 208-734-3045 | |
Stephen E Schmid, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 630 Addison Ave W, Twin Falls, ID 83301 Phone: 208-736-8735 Fax: 208-736-5999 | |
Mr. Donald Paul Workman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 496 D Shoup Ave W, Twin Falls, ID 83301 Phone: 208-734-1614 Fax: 208-733-6530 | |
Bruce C Mccomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 212, Twin Falls, ID 83301 Phone: 208-814-8400 Fax: 208-734-3045 | |
Dr. David William Becker Jr., M.D., J.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 668 Ballingrude Dr, Twin Falls, ID 83301 Phone: 208-735-9288 | |
Dr. Jarom F Lamb, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 212, Twin Falls, ID 83301 Phone: 208-814-8400 Fax: 208-734-3045 |