Dr Keith Russell Johnson, MD | |
777 Hemlock St, Macon, GA 31201-2102 | |
(478) 331-1000 | |
Not Available |
Full Name | Dr Keith Russell Johnson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 23 Years |
Location | 777 Hemlock St, Macon, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851308639 | NPI | - | NPPES |
882501185G | Medicaid | GA | |
882501185I | Medicaid | GA | |
882501185E | Medicaid | GA | |
882501185J | Medicaid | GA | |
882501185C | Medicaid | GA | |
P00352150 | Other | GA | RR MEDICARE |
882501185H | Medicaid | GA | |
2500082985 | Other | GA | CHAMPUS INDIVIDUAL |
882501185F | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 53765 (Georgia) | Primary |
207L00000X | Anesthesiology | 29538 (South Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Meadows Regional Medical Center | Vidalia, GA | Hospital |
Fairview Park Hospital | Dublin, GA | Hospital |
Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ams Southeast Llc | 3870880792 | 66 |
Se Georgia Anesthesia, Llc | 8426466137 | 105 |
Sentry Anesthesia Management, Llc | 9436372323 | 207 |
Entity Name | Coffee Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437120946 PECOS PAC ID: 4587656012 Enrollment ID: O20040402000287 |
Entity Name | Mountainside Anesthesia Consultants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346327152 PECOS PAC ID: 2365430899 Enrollment ID: O20040504000685 |
Entity Name | Capitol Anesthesiology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245287192 PECOS PAC ID: 5799774642 Enrollment ID: O20040507000216 |
Entity Name | American Anesthesiology Associates Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
Entity Name | Sentry Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Entity Name | Ams Southeast Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Entity Name | Se Georgia Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518542919 PECOS PAC ID: 8426466137 Enrollment ID: O20210419001856 |
Entity Name | Fortis Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659960276 PECOS PAC ID: 8325446305 Enrollment ID: O20211005002270 |
Mailing Address | Practice Location Address |
---|---|
Dr Keith Russell Johnson, MD Po Box 18824, Greensboro, NC 27419-8824 Ph: (336) 553-1659 | Dr Keith Russell Johnson, MD 777 Hemlock St, Macon, GA 31201-2102 Ph: (478) 331-1000 |
Dr. Mauro Faibicher, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Keith N Phillippi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Dr. David M Kalish Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Dorene Jeanine Hinton, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 478-750-8606 | |
Hubert R Buxton Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Manojna P Sanjeev, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Boris Pechenik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-1000 |