Kevin Brandt Johnson, DO | |
230 Bowman St Ste C, Morristown, TN 37813-3871 | |
(423) 586-3249 | |
Not Available |
Full Name | Kevin Brandt Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 230 Bowman St Ste C, Morristown, Tennessee |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598826349 | NPI | - | NPPES |
Q059168 | Medicaid | TN | |
7100003850 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 03105 (Kentucky) | Secondary |
207Q00000X | Family Medicine | R1276 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 02434 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Revida Recovery Centers Pc | 1153657473 | 26 |
Entity Name | Revida Recovery Centers Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013483486 PECOS PAC ID: 1153657473 Enrollment ID: O20190724003393 |
Mailing Address | Practice Location Address |
---|---|
Kevin Brandt Johnson, DO 230 Bowman St Ste C, Morristown, TN 37813-3871 Ph: (423) 586-3249 | Kevin Brandt Johnson, DO 230 Bowman St Ste C, Morristown, TN 37813-3871 Ph: (423) 586-3249 |
David A Johnson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Mcfarland Street, Healthstar Physicians, Morristown, TN 37814 Phone: 423-587-5551 Fax: 423-587-0347 | |
Dr. Kevin Guy Catney, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4845 West Andrew Johnson Highway, Morristown, TN 37814 Phone: 423-839-1200 Fax: 423-839-1250 | |
Dr. Harry Allie Zain, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 Bowman St, Suite B, Morristown, TN 37813 Phone: 423-586-1356 Fax: 423-585-5613 | |
Danielle J Darter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Boyd School Rd, Morristown, TN 37813 Phone: 423-587-3407 Fax: 423-587-3405 | |
Dr. Karen L Harsh, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 305 N Bellwood Rd, Morristown, TN 37814 Phone: 423-587-8300 Fax: 423-587-6500 | |
Dr. Rajeev Gupta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1621 W Morris Blvd Ste C, Morristown, TN 37813 Phone: 423-317-7412 Fax: 423-317-7415 | |
Shannon Paul Hancock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4138 Durham Lndg, Morristown, TN 37813 Phone: 423-586-1717 Fax: 423-586-1763 |