Jessica Rae Johnson, MD | |
2415 Massachusetts St, Lawrence, KS 66046-4827 | |
(785) 832-4836 | |
(785) 832-4887 |
Full Name | Jessica Rae Johnson |
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Gender | Female |
Speciality | Pediatrics |
Location | 2415 Massachusetts St, Lawrence, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508428301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2019023994 (Missouri) | Primary |
Entity Name | Rochester General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Mailing Address | Practice Location Address |
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Jessica Rae Johnson, MD 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: (585) 922-0527 | Jessica Rae Johnson, MD 2415 Massachusetts St, Lawrence, KS 66046-4827 Ph: (785) 832-4836 |
Rachel S Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2415 Massachusetts St, Lawrence, KS 66046 Phone: 785-843-3750 Fax: 785-832-4887 | |
Beth Rundquist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 346 Maine St, Lawrence, KS 66044 Phone: 785-842-4477 Fax: 785-842-7433 | |
Marshall Kelley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 346 Maine St, Lawrence, KS 66044 Phone: 785-842-4477 Fax: 785-842-7433 | |
Marcus L Scarbrough, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1112 W 6th St Ste 214a, Lawrence, KS 66044 Phone: 785-505-5635 Fax: 785-505-5306 | |
Dr. Krista Renee Whitney, Pediatrics Medicare: Medicare Enrolled Practice Location: 1803 W 6th St, Lawrence, KS 66044 Phone: 785-841-7297 Fax: 785-856-0375 | |
Terrance P Riordan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 346 Maine St, Lawrence, KS 66044 Phone: 785-842-4477 Fax: 785-842-7433 |