Douglas William Johnson, MD | |
7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | |
(904) 516-3737 | |
(904) 516-3738 |
Full Name | Douglas William Johnson |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497712384 | NPI | - | NPPES |
03911 | Other | FL | BCBS |
AJ038S | Other | FL | MEDICARE PTAN |
P00191285 | Other | FL | MEDICARE RAILROAD |
040225 | Other | FL | AVMED |
853120709A | Medicaid | GA | |
046276400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | ME43406 (Florida) | Primary |
Entity Name | Mayo Clinic Health System In Waycross, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154745982 PECOS PAC ID: 0042124919 Enrollment ID: O20040308000639 |
Mailing Address | Practice Location Address |
---|---|
Douglas William Johnson, MD Po Box 19675, Jacksonville, FL 32245-9675 Ph: (904) 309-8680 | Douglas William Johnson, MD 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 Ph: (904) 516-3737 |
Dr. Brian Bishop Moon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 Phone: 904-399-5550 Fax: 904-346-4334 | |
Dr. Rishi Norman Razdan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2416 Dunn Ave, Jacksonville, FL 32218 Phone: 904-353-3664 Fax: 904-353-3858 | |
Dr. Travis Howell Edelstein, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, 2nd Floor Clinical Center University Of Florida Jackson, Jacksonville, FL 32209 Phone: 954-775-4645 | |
Leo Czervionke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Nina L Kazerooni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7908 Monterey Bay Dr, Jacksonville, FL 32256 Phone: 904-507-9318 | |
Dr. Clyde Whitley Vick Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 1833 Boulevard, Jacksonville, FL 32206 Phone: 904-232-2751 Fax: 904-232-2482 | |
Beau Toskich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |