Dr Samuel Terry Johnson Jr, MD | |
629 Nuckolls Rd, Bolivar, TN 38008-1599 | |
(731) 658-3388 | |
(731) 658-4079 |
Full Name | Dr Samuel Terry Johnson Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 629 Nuckolls Rd, Bolivar, Tennessee |
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 |
---|---|---|---|
1427296276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 47830 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Care | Cordova, TN | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osh-mi Physicians Group Pc | 7810282191 | 137 |
Entity Name | Bolivar General Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538634050 PECOS PAC ID: 0648188987 Enrollment ID: O20031229000439 |
Entity Name | Hardeman County Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861468340 PECOS PAC ID: 5799694147 Enrollment ID: O20040615001290 |
Entity Name | Osh-mi Physicians Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720635790 PECOS PAC ID: 7810282191 Enrollment ID: O20200115002003 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel Terry Johnson Jr, MD Po Box 720, Bolivar, TN 38008-0720 Ph: (731) 659-3125 | Dr Samuel Terry Johnson Jr, MD 629 Nuckolls Rd, Bolivar, TN 38008-1599 Ph: (731) 658-3388 |
Dr. Robert Wayne Dunavant, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-7111 Fax: 731-658-4328 | |
Dr. John Lee Blankenship, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079 | |
Lawrence Diaz, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079 | |
Olufemi E Soyinka, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079 | |
Dr. Nithyananda Pakkala, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-6011 Fax: 731-658-9884 | |
Elizabeth M Rodriguez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 622 W Market St, Bolivar, TN 38008 Phone: 731-658-2885 Fax: 731-658-2886 |