Dr Beverly Clark Johnson, MD | |
272 Andrew Jackson Dr, Clarksville, TN 37043-1723 | |
(931) 980-5375 | |
Not Available |
Full Name | Dr Beverly Clark Johnson |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 272 Andrew Jackson Dr, Clarksville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669489639 | NPI | - | NPPES |
64350994 | Medicaid | KY | |
3811144 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD28806 (Tennessee) | Primary |
Entity Name | Ambulatory And Occupational Health Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226606 PECOS PAC ID: 8224924782 Enrollment ID: O20040223001195 |
Mailing Address | Practice Location Address |
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Dr Beverly Clark Johnson, MD 272 Andrew Jackson Dr, Clarksville, TN 37043-1723 Ph: (931) 980-5375 | Dr Beverly Clark Johnson, MD 272 Andrew Jackson Dr, Clarksville, TN 37043-1723 Ph: (931) 980-5375 |
Dr. William P. Grabenstein, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1822 Memorial Dr, Clarksville, TN 37043 Phone: 931-552-8012 Fax: 931-551-3118 | |
Cyree Collier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-7000 | |
George Thomas Clardy Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 215 8th St, Clarksville, TN 37040 Phone: 931-542-9010 Fax: 931-542-9019 | |
Stephan N Schott, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 306 Landrum Pl, Clarksville, TN 37043 Phone: 931-648-1920 Fax: 931-503-0346 | |
Kwame Frimpong, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-7000 | |
Virginia Leon Debermudez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 Walkaway Ct, Clarksville, TN 37043 Phone: 931-450-8484 | |
Aruna Devi Amara Thati, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1832 Memorial Dr, Clarksville, TN 37043 Phone: 931-645-3552 |