Dennis L Johnson, MD | |
300 Portland St Ste 110, Columbia, MO 65201-7390 | |
(573) 886-4600 | |
(573) 886-4695 |
Full Name | Dennis L Johnson |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 300 Portland St Ste 110, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760430052 | NPI | - | NPPES |
202656914 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | R4J21 (Missouri) | Primary |
Entity Name | Boyce & Bynum Pathology Professional Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689634818 PECOS PAC ID: 0042384976 Enrollment ID: O20080811000335 |
Mailing Address | Practice Location Address |
---|---|
Dennis L Johnson, MD 300 Portland St Ste 110, Columbia, MO 65201-7390 Ph: (573) 886-4600 | Dennis L Johnson, MD 300 Portland St Ste 110, Columbia, MO 65201-7390 Ph: (573) 886-4600 |
Thomas Bart Shaw, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695 | |
Charles W Caldwell, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1013 Marcassin Dr, Columbia, MO 65201 Phone: 573-442-8442 | |
Paul J Mcgowan, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695 | |
Lester J. Layfield, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-1201 Fax: 573-884-4612 | |
Grant Van Dyke Darkow, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695 | |
Anna Venneman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695 | |
Dr. Douglas Roy Mitchell, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 200 Portland St, Columbia, MO 65201 Phone: 573-886-4600 |