Matthew A Johnson, MD | |
2323 Memorial Ave, Suite 10, Lynchburg, VA 24501-2661 | |
(434) 200-5200 | |
Not Available |
Full Name | Matthew A Johnson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2323 Memorial Ave, Lynchburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073595799 | NPI | - | NPPES |
005614023 | Medicaid | VA | |
119865 | Other | ANTHEM | |
080154922 | Other | MEDICARE RAILROAD PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101057967 (Virginia) | Primary |
Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154371433 PECOS PAC ID: 7416851852 Enrollment ID: O20031126000251 |
Entity Name | Mcleod Medical Center-dillon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720033988 PECOS PAC ID: 3476465311 Enrollment ID: O20031203000480 |
Entity Name | Mcleod Loris Seacoast Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230 |
Entity Name | Mcleod Health Cheraw |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275912974 PECOS PAC ID: 7911228259 Enrollment ID: O20151218002079 |
Entity Name | Mcleod Health Clarendon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930 |
Mailing Address | Practice Location Address |
---|---|
Matthew A Johnson, MD 1204 Fenwick Dr, Lynchburg, VA 24502-2112 Ph: () - | Matthew A Johnson, MD 2323 Memorial Ave, Suite 10, Lynchburg, VA 24501-2661 Ph: (434) 200-5200 |
Gregg R. Albers, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2811 Linkhorne Dr, Suite A, Lynchburg, VA 24503 Phone: 434-384-1581 Fax: 434-384-5609 | |
Dr. Sebastian J Ksionski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1330 Oak Ln, Lynchburg, VA 24503 Phone: 434-200-4175 | |
Carrie Y, Beaumont, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1971 University Blvd, Lynchburg, VA 24502 Phone: 434-582-2514 Fax: 434-582-2516 | |
Louis B Graham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 20304 Timberlake Rd, Lynchburg, VA 24502 Phone: 434-237-6471 Fax: 434-237-8810 | |
Patricia Richardson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Landover Pl, Lynchburg, VA 24501 Phone: 434-947-3944 Fax: 866-617-8273 | |
Dr. Cory Joseph Edwards, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2323 Memorial Ave Ste 10, Lynchburg, VA 24501 Phone: 434-200-5200 Fax: 434-200-1641 |