Dr Alfred Johnson, MD | |
6010 Bond Ave, East Saint Louis, IL 62207-2328 | |
(618) 337-8153 | |
(618) 337-8905 |
Full Name | Dr Alfred Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 6010 Bond Ave, East Saint Louis, Illinois |
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 |
---|---|---|---|
1144316431 | NPI | - | NPPES |
036086206 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036086206 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fayette County Hospital | Vandalia, IL | Hospital |
Touchette Regional Hospital Inc | Centreville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 104 |
Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
Mailing Address | Practice Location Address |
---|---|
Dr Alfred Johnson, MD 6010 Bond Ave, East Saint Louis, IL 62207-2328 Ph: (618) 337-8153 | Dr Alfred Johnson, MD 6010 Bond Ave, East Saint Louis, IL 62207-2328 Ph: (618) 337-8153 |
Dr. Christopher Vaughan Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N 8th St, East Saint Louis, IL 62201 Phone: 618-271-0130 Fax: 618-271-6325 | |
Dr. Miguel H. Granger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-9191 Fax: 618-271-9617 | |
Dr. John M Magner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N 8th St Ste 120, East Saint Louis, IL 62201 Phone: 618-337-2597 Fax: 618-337-2930 | |
Dolores J Gunn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-9191 Fax: 618-271-9617 |