Mark W Johnson, MD | |
3621 22nd St, Suite 400, Lubbock, TX 79410-1301 | |
(806) 791-8484 | |
(806) 791-8484 |
Full Name | Mark W Johnson |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 46 Years |
Location | 3621 22nd St, Lubbock, Texas |
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 |
---|---|---|---|
1205838653 | NPI | - | NPPES |
132871806 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | F9626 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Covenant Medical Center | Lubbock, TX | Hospital |
Covenant Childrens Hospital | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Covenant Medical Group | 6901889393 | 216 |
Entity Name | Covenant Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376598904 PECOS PAC ID: 6901889393 Enrollment ID: O20040608000563 |
Mailing Address | Practice Location Address |
---|---|
Mark W Johnson, MD 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 Ph: (806) 791-8484 | Mark W Johnson, MD 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 Ph: (806) 791-8484 |
Mustafa Aly, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-725-4130 | |
Dr. Nuvneet N/a Khandelwal, MD, MBA Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 4816 7th St, Lubbock, TX 79416 Phone: 432-230-3005 | |
Janice Stachowiak, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-3150 Fax: 806-743-3168 | |
M Alan Sharif, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4802 N Loop 289, Lubbock, TX 79416 Phone: 806-788-0040 Fax: 806-788-0015 | |
Dr. Vernon Farthing, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 3502 9th St, Ste. 210, Lubbock, TX 79415 Phone: 806-762-8461 | |
Ashref Mohamed, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3415 19th St, Lubbock, TX 79410 Phone: 806-725-4130 | |
Sima Lina Shahbandar, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 3601 4th St # Ms 9410, Lubbock, TX 79430 Phone: 806-743-6840 |