Joe Breese Johnson Jr, MD | |
1112 E Weisgarber Rd, Ste 201, Knoxville, TN 37909-2647 | |
(865) 558-9862 | |
(865) 584-3478 |
Full Name | Joe Breese Johnson Jr |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1112 E Weisgarber Rd, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619974193 | NPI | - | NPPES |
3193600 | Medicaid | TN | |
3193601 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 14652 (Tennessee) | Primary |
Entity Name | Summit Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
Mailing Address | Practice Location Address |
---|---|
Joe Breese Johnson Jr, MD 1112 E Weisgarber Rd, Ste 201, Knoxville, TN 37909-2647 Ph: (865) 558-9862 | Joe Breese Johnson Jr, MD 1112 E Weisgarber Rd, Ste 201, Knoxville, TN 37909-2647 Ph: (865) 558-9862 |
John Texada, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4709 Papermill Dr Ste 201, Knoxville, TN 37909 Phone: 865-766-6870 | |
Alyssa Louise Dutton, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7500 Mountie Lane, Knoxville, TN 37924 Phone: 865-919-4842 | |
James Scott Schauberger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1112 E Weisgarber Rd Ste 102, Knoxville, TN 37909 Phone: 865-558-9862 Fax: 865-584-3478 | |
Scott A Wegryn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2001 Laurel Ave, Suite N304, Knoxville, TN 37916 Phone: 865-546-9484 | |
Dr. Deborah Ann Winters, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 Dowell Springs Blvd Ste 200, Knoxville, TN 37909 Phone: 865-584-0291 Fax: 865-584-4426 | |
Dr. Noel Melinda Bergquist, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy # U107, Knoxville, TN 37920 Phone: 865-305-9661 Fax: 865-305-6148 | |
Samuel H Feaster, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2001 Laurel Ave, Suite N304, Knoxville, TN 37916 Phone: 865-546-9484 |