Lee Roy W Johnson, MD | |
927 Broadway St, Quincy, IL 62301-2719 | |
(217) 224-4453 | |
(217) 224-9383 |
Full Name | Lee Roy W Johnson |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 61 Years |
Location | 927 Broadway St, Quincy, Illinois |
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 |
---|---|---|---|
1841385937 | NPI | - | NPPES |
732001 | Other | LA | BLUE CROSS BLUE SHIELD |
202602405 | Medicaid | MO | |
036078085 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 036-078085 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blessing Hospital | Quincy, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessing Hospital | 3072422534 | 349 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255515342 PECOS PAC ID: 3072422534 Enrollment ID: O20040330001155 |
Entity Name | Blessing Corporate Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851311641 PECOS PAC ID: 5991616138 Enrollment ID: O20050222000479 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
Mailing Address | Practice Location Address |
---|---|
Lee Roy W Johnson, MD 927 Broadway St, Quincy, IL 62301-2719 Ph: (217) 224-4453 | Lee Roy W Johnson, MD 927 Broadway St, Quincy, IL 62301-2719 Ph: (217) 224-4453 |
Dr. Austin Hake, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1118 Hampshire St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dr. Ahmed Jouan, Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-214-6240 Fax: 217-223-3641 | |
Linda M Johnson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Alborz Javadzadeh, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-4453 Fax: 217-224-9383 | |
Dr. Schvon Leigh Cummings, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-4453 Fax: 217-224-9383 | |
Mary I Dobbins, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 | |
Scott J Wright, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4409 Maine St, Quincy, IL 62305 Phone: 217-223-0413 Fax: 309-836-5001 |