Meredith A Johnston, MD | |
400 Hospital Dr, Ste 208, Corsicana, TX 75110-2489 | |
(903) 641-4800 | |
(903) 641-4822 |
Full Name | Meredith A Johnston |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 400 Hospital Dr, Corsicana, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538190111 | NPI | - | NPPES |
187034701 | Medicaid | TX | |
8W4547 | Other | TX | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101238944 (Virginia) | Secondary |
208000000X | Pediatrics | M6680 (Texas) | Primary |
Entity Name | Regional Employee Assistance Program Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649232984 PECOS PAC ID: 1557260064 Enrollment ID: O20040612000731 |
Mailing Address | Practice Location Address |
---|---|
Meredith A Johnston, MD 400 Hospital Dr, Suite 111, Corsicana, TX 75110-2489 Ph: (903) 641-4895 | Meredith A Johnston, MD 400 Hospital Dr, Ste 208, Corsicana, TX 75110-2489 Ph: (903) 641-4800 |
Karen A Jahnke, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Hospital Dr, Suite 208, Corsicana, TX 75110 Phone: 903-641-4800 Fax: 903-641-4822 | |
Dr. Thomas N Sawyerr, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Hospital Dr, Suite 208, Corsicana, TX 75110 Phone: 903-641-4800 | |
Daniel P Maloney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Suite 150, Corsicana, TX 75110 Phone: 903-641-4800 Fax: 903-641-4822 | |
Mussarat Shafiq, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Hospital Dr, Ste 208, Corsicana, TX 75110 Phone: 903-654-4564 Fax: 903-654-6837 |