Dr Homer Thomas Johnson Ii, MD | |
1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8781 | |
(636) 498-7880 | |
(636) 498-7889 |
Full Name | Dr Homer Thomas Johnson Ii |
---|---|
Gender | Male |
Speciality | Sleep Medicine |
Experience | 21 Years |
Location | 1475 Kisker Rd, Saint Charles, Missouri |
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 |
---|---|---|---|
1932223898 | NPI | - | NPPES |
205475809 | Medicaid | MO |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Dr Homer Thomas Johnson Ii, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Dr Homer Thomas Johnson Ii, MD 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8781 Ph: (636) 498-7880 |
Dr. Jenny Lynn Miele, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208 | |
Dr. Erin Elizabeth Casey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208 | |
Dr. Nadira Adil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1551 Wall St, 4th Floor, Saint Charles, MO 63303 Phone: 636-669-2443 Fax: 636-669-2401 | |
Dr. Keith J Moll, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303 Phone: 636-669-2443 Fax: 636-669-2390 | |
Dr. Fariba Azarpour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303 Phone: 636-669-2443 Fax: 636-669-2390 | |
Dr. Andrea Cohron Orr, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208 | |
Mary Joanna Petruska-nordmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-947-5000 |