Dr Robert C Johnson, MD | |
1005 Broadway St, Quincy, IL 62301-2834 | |
(217) 223-8400 | |
(217) 223-7327 |
Full Name | Dr Robert C Johnson |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 35 Years |
Location | 1005 Broadway St, Quincy, Illinois |
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 |
---|---|---|---|
1053308825 | NPI | - | NPPES |
206911414 | Medicaid | MO | |
19960025 | Other | MO | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 102829 (Missouri) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 036141870 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blessing Hospital | Quincy, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessing Hospital | 3072422534 | 349 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert C Johnson, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 | Dr Robert C Johnson, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 |
Dr. Gerald T Riley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Robert Haag, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dr. Young Woo Yu, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Broadway At 11th Street, Blessing Hospital, Quincy, IL 62301 Phone: 217-223-8400 | |
Mark Sunung Khil, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-277-3500 Fax: 217-223-7327 |