Marc C Johnson, MD | |
350 W Columbia St, Suite 420, Evansville, IN 47710-1782 | |
(812) 422-3254 | |
(812) 426-6388 |
Full Name | Marc C Johnson |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 350 W Columbia St, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902888761 | NPI | - | NPPES |
7100017600 | Medicaid | KY | |
200832060 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 01062075A (Indiana) | Primary |
Entity Name | Imaging Associates Of Indiana Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699072611 PECOS PAC ID: 1254503345 Enrollment ID: O20111014000250 |
Mailing Address | Practice Location Address |
---|---|
Marc C Johnson, MD 350 W Columbia St, Suite 420, Evansville, IN 47710-1782 Ph: (812) 422-3254 | Marc C Johnson, MD 350 W Columbia St, Suite 420, Evansville, IN 47710-1782 Ph: (812) 422-3254 |
Mr. John R Bies, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 Professional Blvd, Evansville, IN 47714 Phone: 812-479-9500 Fax: 812-437-0037 | |
Dr. Daniel Riherd, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710 Phone: 812-450-5000 | |
Gary W Kerber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3700 Washington Ave, Evansville, IN 47750 Phone: 812-485-4415 Fax: 812-471-6650 | |
Dr. Alexander Matthew Clayton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710 Phone: 812-422-3254 Fax: 812-426-6388 | |
Dr. Aly A. Razek, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 N Burkhardt Rd, Evansville, IN 47715 Phone: 812-474-1110 Fax: 812-471-9282 | |
Dr. Michael Wayne Daugherty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710 Phone: 812-422-3254 | |
Mackenzie Kay Stillwell, RT (R) Radiology Medicare: Not Enrolled in Medicare Practice Location: 4907 Theater Dr, Evansville, IN 47715 Phone: 812-773-3227 |