Dr Stacey Johnston, MD | |
820 Prudential Dr Ste 304, Jacksonville, FL 32207 | |
(904) 202-3860 | |
(904) 202-3846 |
Full Name | Dr Stacey Johnston |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 22 Years |
Location | 820 Prudential Dr Ste 304, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144414368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 001842 (Georgia) | Secondary |
207Q00000X | Family Medicine | ME137361 (Florida) | Secondary |
208M00000X | Hospitalist | ME137361 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
Baptist Primary Care Inc | 0648177733 | 405 |
Entity Name | 24 On Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588613343 PECOS PAC ID: 5698688141 Enrollment ID: O20031111000018 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100107000067 |
Mailing Address | Practice Location Address |
---|---|
Dr Stacey Johnston, MD Po Box 44004, Jacksonville, FL 32231-4004 Ph: (904) 202-1032 | Dr Stacey Johnston, MD 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Ph: (904) 202-3860 |
Ricardo Pagan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Zelia Yanique Archibald, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3850 Fax: 904-244-4799 | |
Dr. Vera Utagah Abaaba, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Dr. Christopher Barusya, MBCHB Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Shahbaz Yousaf, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Memorial Hospitalist, Jacksonville, FL 32216 Phone: 786-399-9700 | |
Ebone Danielle Hill, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Joshua S Elder, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 |