Dr Stephanie M Johnson, MD | |
301 Henry St, North Vernon, IN 47265-1030 | |
(812) 352-4454 | |
(812) 418-4230 |
Full Name | Dr Stephanie M Johnson |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 301 Henry St, North Vernon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659368629 | NPI | - | NPPES |
200349990A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01054624A (Indiana) | Primary |
207P00000X | Emergency Medicine | 01054624A (Indiana) | Secondary |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20090113000240 |
Entity Name | Indiana Physician Management-salem, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033408257 PECOS PAC ID: 0143406595 Enrollment ID: O20110519000111 |
Entity Name | Indiana Physician Management-jennings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861783326 PECOS PAC ID: 7911185509 Enrollment ID: O20110630000218 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephanie M Johnson, MD 2794 Buttercup Ct E, Columbus, IN 47201-3041 Ph: (812) 418-4230 | Dr Stephanie M Johnson, MD 301 Henry St, North Vernon, IN 47265-1030 Ph: (812) 352-4454 |
Sesame Dijeng, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4454 | |
Jennifer Lynn Stanley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 | |
John Benet Schuck, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 | |
Gregory Austin Politzer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 Fax: 812-352-4301 | |
Dr. Neil Strait Hill, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 939 Veterans Dr, Suite A, North Vernon, IN 47265 Phone: 812-352-8333 Fax: 812-352-8233 | |
Dr. Anton Grankin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Henry St, North Vernon, IN 47265 Phone: 812-352-4300 |