Mr Jerry L Johnson, MD | |
503 S John Redditt Dr, Lufkin, TX 75904-3120 | |
(936) 632-1533 | |
(936) 632-1726 |
Full Name | Mr Jerry L Johnson |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 34 Years |
Location | 503 S John Redditt Dr, Lufkin, 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 |
---|---|---|---|
1487721858 | NPI | - | NPPES |
099143202 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | J2117 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Woodland Heights Medical Center | Lufkin, TX | Hospital |
Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jerry L Johnson Md Pa | 1153505383 | 2 |
Entity Name | Jerry L Johnson Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174824510 PECOS PAC ID: 1153505383 Enrollment ID: O20110412000557 |
Mailing Address | Practice Location Address |
---|---|
Mr Jerry L Johnson, MD 503 South John Redditt, Lufkin, TX 75904 Ph: (936) 634-6636 | Mr Jerry L Johnson, MD 503 S John Redditt Dr, Lufkin, TX 75904-3120 Ph: (936) 632-1533 |
Mr. Michael Laverne Arnold, MD FACOG Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 401 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-639-4463 Fax: 936-639-4417 | |
Cheryl Rene Suiter, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 402 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-699-7575 Fax: 936-699-7576 | |
Dixie Ann Mcclendon-coker, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1105 W Frank Ave, Suite 110, Lufkin, TX 75904 Phone: 936-634-1620 Fax: 936-639-8972 | |
Dr. Rachael Elizabeth Sullivan, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1105 W Frank Ave, Suite 200, Lufkin, TX 75904 Phone: 936-634-8111 Fax: 936-639-8952 | |
Dr. Kaywin Mahoney Carter, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1105 W Frank Ave Ste 110, Lufkin, TX 75904 Phone: 936-634-1620 Fax: 936-639-8972 | |
Shelby Lynn Shelton, CNM Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1105 W Frank Ave Ste 200, Lufkin, TX 75904 Phone: 936-631-6771 |