Dr Sidney A Johnson Jr, MD | |
2969 Curran Dr N, Jackson, MS 39216-4121 | |
(601) 200-3070 | |
Not Available |
Full Name | Dr Sidney A Johnson Jr |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 40 Years |
Location | 2969 Curran Dr N, Jackson, Mississippi |
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 |
---|---|---|---|
1497757603 | NPI | - | NPPES |
1497757603 | Other | MS | NPI |
1961809 | Medicaid | LA | |
000015534 | Medicaid | MS | |
0015534 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 10704 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Merit Health Women's Hospital | Flowood, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vicksburg Clinic Llc | 5890696330 | 23 |
Radiation Oncology Of Mississippi Pa | 6800787961 | 6 |
Entity Name | Vicksburg Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738 |
Entity Name | Radiation Oncology Of Mississippi Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003905266 PECOS PAC ID: 6800787961 Enrollment ID: O20040320000431 |
Mailing Address | Practice Location Address |
---|---|
Dr Sidney A Johnson Jr, MD Po Box 4997, Jackson, MS 39296-4997 Ph: (601) 362-0600 | Dr Sidney A Johnson Jr, MD 2969 Curran Dr N, Jackson, MS 39216-4121 Ph: (601) 200-3070 |
Dr. Christophor D Reed, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-5615 | |
Dr. Patrick James Robbins, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5600 Fax: 601-984-5608 | |
Dr. Richard B Friedman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-968-1416 Fax: 601-968-1218 | |
Teddi Leigh Berry, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Department Of Radiology, Jackson, MS 39216 Phone: 601-984-2695 Fax: 601-984-2683 | |
Katherine Leigh Ragland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Dept. Of Radiology, Jackson, MS 39216 Phone: 601-984-2538 | |
Wayne Fai Chan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Radiation Therapy, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-364-1588 | |
Dr. Mary Oneal, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 |