Derrick Lynn Johnston, MD | |
5166 E Glenn St, Tucson, AZ 85712-1337 | |
(520) 795-5338 | |
(520) 795-5382 |
Full Name | Derrick Lynn Johnston |
---|---|
Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 5166 E Glenn St, Tucson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184852709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088P0231X | Urology - Pediatric Urology | 51576 (Arizona) | Primary |
Entity Name | Arizona Pediatric Surgery Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720111396 PECOS PAC ID: 1759367519 Enrollment ID: O20040624000954 |
Entity Name | Children's Clinics For Rehabilitative Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063454346 PECOS PAC ID: 2264503408 Enrollment ID: O20080617000099 |
Entity Name | Tmc Medical Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996 |
Mailing Address | Practice Location Address |
---|---|
Derrick Lynn Johnston, MD 5166 E Glenn St, Tucson, AZ 85712-1337 Ph: (520) 795-5338 | Derrick Lynn Johnston, MD 5166 E Glenn St, Tucson, AZ 85712-1337 Ph: (520) 795-5338 |
Richard A Ashley, M.D. Urology Medicare: Medicare Enrolled Practice Location: 5166 E. Glenn St., Tucson, AZ 85712 Phone: 520-795-5338 Fax: 520-795-5382 | |
Dr. Benjamin R Lee, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1501 N Campbell Ave, Division Urology, Box 245077, Tucson, AZ 85724 Phone: 520-626-6895 Fax: 520-626-4933 | |
Lauren Rittenberg, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 4790 S Calle Santa Cruz, Tucson, AZ 85714 Phone: 843-884-8045 | |
Matthew Gretzer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-874-3500 | |
Martin Schiff, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-694-4032 Fax: 520-694-2404 | |
Dr. Ava Amalia Delu, MD Urology Medicare: Medicare Enrolled Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-0111 | |
Dr. Anthony Chavez, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1106 N El Dorado Place, Tucson, AZ 85715 Phone: 520-296-7169 |