L David Johnson, MD | |
24 Physicians Dr, Jackson, TN 38305-2070 | |
(731) 661-9825 | |
(731) 668-6757 |
Full Name | L David Johnson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 37 Years |
Location | 24 Physicians Dr, Jackson, Tennessee |
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 |
---|---|---|---|
1053410662 | NPI | - | NPPES |
3025550 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 17211 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson-madison County General Hospital | Jackson, TN | Hospital |
Lauderdale Community Hospital | Ripley, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Tennessee Bone And Joint Clinic Pc | 7517940182 | 55 |
Entity Name | West Tennessee Bone And Joint Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831312461 PECOS PAC ID: 7517940182 Enrollment ID: O20040612000702 |
Entity Name | Stn Care Of Tn Ii, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518420272 PECOS PAC ID: 1759719669 Enrollment ID: O20200306001578 |
Mailing Address | Practice Location Address |
---|---|
L David Johnson, MD 24 Physicians Dr, Jackson, TN 38305-2070 Ph: (731) 661-9825 | L David Johnson, MD 24 Physicians Dr, Jackson, TN 38305-2070 Ph: (731) 661-9825 |
John Patrick Masterson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 569 Skyline Dr, Suite 100, Jackson, TN 38301 Phone: 731-427-7888 Fax: 731-265-4152 | |
Keith Douglas Nord, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 111 Stonebridge Blvd, Jackson, TN 38305 Phone: 731-427-7888 Fax: 731-265-4159 | |
William Stansul Ragon Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24 Physicians Dr, Jackson, TN 38305 Phone: 731-661-9825 Fax: 731-668-6757 | |
John E Everett, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 24 Physicians Dr, Jackson, TN 38063 Phone: 731-661-9825 Fax: 731-668-6757 | |
John Douglas Haltom Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24 Physicians Dr, Jackson, TN 38305 Phone: 731-661-9825 Fax: 731-668-6757 | |
Jason T Hutchison, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24 Physicians Dr, Jackson, TN 38305 Phone: 731-661-9825 Fax: 731-668-6757 |