Dr Michael George Johnson Jr, MD | |
28 Crescent St, Middletown, CT 06457-3654 | |
(860) 358-6293 | |
Not Available |
Full Name | Dr Michael George Johnson Jr |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 16 Years |
Location | 28 Crescent St, Middletown, Connecticut |
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 |
---|---|---|---|
1457514549 | NPI | - | NPPES |
008053944 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 052808 (Connecticut) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 052808 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Middlesex Hospital | Middletown, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Guilford Radiology Llc | 2668722513 | 9 |
Radiologic Associates Of Middletown Pc | 5799765186 | 30 |
Entity Name | Radiologic Associates Of Middletown Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124137328 PECOS PAC ID: 5799765186 Enrollment ID: O20050518000643 |
Entity Name | Guilford Radiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760593347 PECOS PAC ID: 2668722513 Enrollment ID: O20180913002670 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael George Johnson Jr, MD 57 S Main St, Middletown, CT 06457-3606 Ph: (860) 638-0050 | Dr Michael George Johnson Jr, MD 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-6293 |
Joseph C Sala, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-358-6000 Fax: 860-358-6071 | |
Dena Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-358-6000 Fax: 860-358-6071 | |
Dr. Ravi Jain, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middlesex Hospital, Middletown, CT 06457 Phone: 860-344-6293 Fax: 860-344-6071 | |
Mr. Erik G Pingoud, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 28 Crescent St, Middlesex Hospital, Middletown, CT 06457 Phone: 860-344-6293 Fax: 860-344-6071 | |
Dr. Michael Crain, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middlesex Hospital, Middletown, CT 06457 Phone: 860-344-6293 Fax: 860-344-6071 | |
Mr. Jeffrey H Takahashi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middlesex Hospital, Middletown, CT 06457 Phone: 860-344-6293 Fax: 860-344-6071 | |
Dr. Leonard Stoane, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 435 Kelsey St, Middletown, CT 06457 Phone: 860-347-7896 |