Jack Johnston, MD | |
4040 Highway 17, Murrells Inlet, SC 29576-5098 | |
(864) 561-1716 | |
Not Available |
Full Name | Jack Johnston |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 9 Years |
Location | 4040 Highway 17, Murrells Inlet, South Carolina |
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 |
---|---|---|---|
1033590054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | LL38420 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgetown Physician Associates, Llc | 2365697398 | 171 |
Waccamaw Community Hospital | 9133036932 | 82 |
Entity Name | Georgetown Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
Entity Name | Waccamaw Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
Entity Name | Georgetown Physician Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235475930 PECOS PAC ID: 2365697398 Enrollment ID: O20130225000067 |
Mailing Address | Practice Location Address |
---|---|
Jack Johnston, MD 4040 Highway 17, Murrells Inlet, SC 29576-5098 Ph: (864) 561-1716 | Jack Johnston, MD 4040 Highway 17, Murrells Inlet, SC 29576-5098 Ph: (864) 561-1716 |
Dr. Sunil V Lalla, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4367 Riverwood Dr, Suite 130, Murrells Inlet, SC 29576 Phone: 843-652-8390 Fax: 843-652-8391 | |
Dr. Matthew J Metz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4040 Hwy 17 Bypass, Suite 202, Murrells Inlet, SC 29576 Phone: 843-652-8390 Fax: 843-652-8399 | |
Salim Gerhard Ghorra, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4040 Highway 17 Unit 202, Murrells Inlet, SC 29576 Phone: 843-652-8390 Fax: 843-652-8399 | |
Dr. Angela Marie Mislowsky, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4181 Highway 17, Murrells Inlet, SC 29576 Phone: 843-651-3308 | |
Mark Leslie Witkowski, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 4040 Highway 17, Suite 202, Murrells Inlet, SC 29576 Phone: 843-652-8390 Fax: 843-652-8391 |