James Gilliam Johnston Ii, MD | |
18 Old Etna Rd, Dhmc - Family Medicine, Lebanon, NH 03766 | |
(603) 650-4000 | |
(603) 650-4198 |
Full Name | James Gilliam Johnston Ii |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 18 Old Etna Rd, Lebanon, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811963283 | NPI | - | NPPES |
1017549 | Medicaid | VT | |
315300099 | Medicaid | ME | |
30209510 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 14733 (New Hampshire) | Primary |
207Q00000X | Family Medicine | 042-0011922 (Vermont) | Secondary |
207Q00000X | Family Medicine | 012982 (Maine) | Secondary |
Entity Name | Mary Hitchcock Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
Entity Name | Dartmouth-hitchcock Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
Mailing Address | Practice Location Address |
---|---|
James Gilliam Johnston Ii, MD 1 Medical Center Dr, Dhmc Family Medicine, Lebanon, NH 03756-1000 Ph: (603) 650-4000 | James Gilliam Johnston Ii, MD 18 Old Etna Rd, Dhmc - Family Medicine, Lebanon, NH 03766 Ph: (603) 650-4000 |
Dr. David Scott Cockrum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: -- | |
Dr. Chukwusomnazu Emmanuel Nwanze, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 706-571-1430 | |
Dr. Deborah A Glazer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Alice Peck Day Dr, Lebanon, NH 03766 Phone: 603-448-3122 Fax: 603-448-7491 | |
Dr. Paul Nicholas Vanloan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Mascoma St, Lebanon, NH 03766 Phone: 603-448-3121 Fax: 603-443-9501 | |
Daniel Odonnell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-3640 | |
Leah G Matthew, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Old Etna Rd, Lebanon, NH 03766 Phone: 603-650-4000 | |
Dr. Annika Meith Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Old Etna Rd, Lebanon, NH 03766 Phone: 603-650-4000 |