Michael Eugene Johnson, MD | |
1520 N Division St, Blytheville, AR 72315-1448 | |
(870) 838-7460 | |
Not Available |
Full Name | Michael Eugene Johnson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 33 Years |
Location | 1520 N Division St, Blytheville, Arkansas |
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 |
---|---|---|---|
1306892542 | NPI | - | NPPES |
5L772 | Other | AR | BLUE CROSS BLUE SHIELD |
130216001 | Medicaid | AR | |
P00285103 | Other | AR | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | E2802 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crossridge Community Hospital | Wynne, AR | Hospital |
Mena Regional Health System | Mena, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Correct Care, Inc. | 8628980992 | 69 |
Entity Name | Correct Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20041207001183 |
Entity Name | St Bernard Community Hospital Corporation |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1962410183 PECOS PAC ID: 7810897485 Enrollment ID: O20071010000024 |
Entity Name | Helena Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679705370 PECOS PAC ID: 9830245612 Enrollment ID: O20090919000027 |
Entity Name | East Arkansas Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932442985 PECOS PAC ID: 5698909067 Enrollment ID: O20131018000502 |
Entity Name | App Of Arkansas Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336698828 PECOS PAC ID: 1153601463 Enrollment ID: O20161202000951 |
Mailing Address | Practice Location Address |
---|---|
Michael Eugene Johnson, MD Po Box 24086, Fort Worth, TX 76124-1086 Ph: (817) 451-4208 | Michael Eugene Johnson, MD 1520 N Division St, Blytheville, AR 72315-1448 Ph: (870) 838-7460 |
James David Dye, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 527 N 6th St, Blytheville, AR 72315 Phone: 870-763-4541 |