Kevin R Johnson, DO | |
2402 5th St N, Columbus, MS 39705-2000 | |
(662) 690-8007 | |
(662) 842-4653 |
Full Name | Kevin R Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 2402 5th St N, Columbus, Mississippi |
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 |
---|---|---|---|
1992773535 | NPI | - | NPPES |
06202721 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18376 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Mississippi Medical Center | Tupelo, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Mississippi Medical Clinics Inc | 6103736665 | 114 |
Entity Name | North Mississippi Medical Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582 |
Mailing Address | Practice Location Address |
---|---|
Kevin R Johnson, DO Po Box 405827, Atlanta, GA 30384-5827 Ph: (870) 934-5821 | Kevin R Johnson, DO 2402 5th St N, Columbus, MS 39705-2000 Ph: (662) 690-8007 |
Dr. Gerald Turner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Dutch Ln, Columbus, MS 39702 Phone: 662-329-3808 Fax: 662-329-3873 | |
Dr. Hagop Jack Keleshian, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Independence Ste 225, Columbus, MS 39710 Phone: 626-434-2237 | |
Robert L Buckley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Dutch Ln, Columbus, MS 39702 Phone: 662-329-3808 Fax: 662-329-3873 | |
John Stanback, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4508 Highway 45 N, Columbus, MS 39705 Phone: 662-328-9702 Fax: 662-328-0954 | |
Josiah P Becker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 Independence, Columbus, MS 39710 Phone: 662-434-2273 | |
Dr. Kevin Petronela Juozapavicius, D.O., MS, BS Family Medicine Medicare: Medicare Enrolled Practice Location: 201 Independence, Columbus Afb, Columbus, MS 39710 Phone: 662-434-2273 | |
Dr. Megan R Moran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-2042 Fax: 662-244-2041 |