David L Johnson, MD | |
124 Sunset Court, West Columbia, SC 29169 | |
(803) 931-0077 | |
(803) 931-0076 |
Full Name | David L Johnson |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 22 Years |
Location | 124 Sunset Court, West Columbia, South Carolina |
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 |
---|---|---|---|
1811942527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 48980 (Wisconsin) | Secondary |
207WX0107X | Ophthalmology - Retina Specialist | MD23958 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Health | Columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palmetto Retina Center Llc | 4486741980 | 11 |
Entity Name | Palmetto Retina Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255322806 PECOS PAC ID: 4486741980 Enrollment ID: O20071031000150 |
Mailing Address | Practice Location Address |
---|---|
David L Johnson, MD 124 Sunset Court, West Columbia, SC 29169 Ph: (803) 931-0077 | David L Johnson, MD 124 Sunset Court, West Columbia, SC 29169 Ph: (803) 931-0077 |
Dr. Monique Dorcel Courtenay, MD, PHD Ophthalmology Medicare: Medicare Enrolled Practice Location: 2728 Sunset Blvd Ste 106, West Columbia, SC 29169 Phone: 803-314-9760 Fax: 803-314-9761 | |
William Lloyd Clark, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 124 Sunset Court, West Columbia, SC 29169 Phone: 803-931-0077 Fax: 803-931-0076 | |
Dr. John F Payne, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 124 Sunset Court, West Columbia, SC 29169 Phone: 803-931-0077 Fax: 803-931-0076 | |
Bethany C Bray, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2728 Sunset Blvd Ste 106, West Columbia, SC 29169 Phone: 803-314-9760 Fax: 803-314-9761 | |
John A Wells Iii, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 124 Sunset Court, West Columbia, SC 29169 Phone: 803-931-0077 Fax: 803-931-0076 |