Dr Chrystal Dian Johnson, MD | |
20602 Arch Street Pike, Hensley, AR 72065-9442 | |
(501) 262-2602 | |
(501) 891-5672 |
Full Name | Dr Chrystal Dian Johnson |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 20602 Arch Street Pike, Hensley, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497836563 | NPI | - | NPPES |
04010017400 | Other | AR | QUALCHOICE |
150345001 | Medicaid | AR | |
P000900296 | Other | AR | RR MEDICARE |
5M652 | Other | AR | BLUE CROSS BLUE SHIELD |
1670460 | Other | AR | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E-3700 (Arkansas) | Primary |
Entity Name | Primary Care Of Arkansas Chrystal Johnson Md |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013161363 PECOS PAC ID: 6800956608 Enrollment ID: O20081125000007 |
Entity Name | D&d Doctors Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831626183 PECOS PAC ID: 5597025163 Enrollment ID: O20180131001186 |
Mailing Address | Practice Location Address |
---|---|
Dr Chrystal Dian Johnson, MD 20602 Arch Street Pike, Hensley, AR 72065-9442 Ph: (501) 262-2602 | Dr Chrystal Dian Johnson, MD 20602 Arch Street Pike, Hensley, AR 72065-9442 Ph: (501) 262-2602 |
Melissa Ann Shepard, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 21019 Highway 167 Ste 200, Hensley, AR 72065 Phone: 501-261-7630 | |
Robert E Walton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20798 Arch Street Pike, Hensley, AR 72065 Phone: 501-888-8200 Fax: 501-888-8201 | |
Joshua Aaron Motes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21019 Hwy 167, Suite 200, Hensley, AR 72065 Phone: 501-261-7630 Fax: 501-261-7625 | |
Tabatha Gail Vocque, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24005 Arch Street Pike Ste 16, Hensley, AR 72065 Phone: 501-475-8021 Fax: 866-485-0549 | |
Joshua Robert Vocque, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 24005 Arch Street Pike Ste 16, Hensley, AR 72065 Phone: 501-410-0024 Fax: 866-485-0549 |