Mr Larry C Johnson, MD | |
120 Progress Way, Owenton, KY 40359-6032 | |
(844) 655-6100 | |
(502) 484-2102 |
Full Name | Mr Larry C Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 120 Progress Way, Owenton, Kentucky |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285653618 | NPI | - | NPPES |
64051022 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35775 (Kentucky) | Primary |
207P00000X | Emergency Medicine | 35775 (Kentucky) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Interim Healthcare Of Northern Kentucky | Edgewood, KY | Home health agency |
St Elizabeth Florence | Florence, KY | Hospital |
Frankfort Regional Medical Center | Frankfort, KY | Hospital |
St Elizabeth Grant | Williamstown, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Triad Health Systems, Inc. | 4082798699 | 17 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Entity Name | Triad Health Systems, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831311299 PECOS PAC ID: 4082798699 Enrollment ID: O20100806000077 |
Mailing Address | Practice Location Address |
---|---|
Mr Larry C Johnson, MD 1401 Madison Ave, Covington, KY 41011-3313 Ph: (859) 655-6100 | Mr Larry C Johnson, MD 120 Progress Way, Owenton, KY 40359-6032 Ph: (844) 655-6100 |
Mr. Eric C. Baumann, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 120 Progress Way, Owenton, KY 40359 Phone: 844-655-6100 Fax: 502-484-2102 | |
Mr. Douglas M Smalara, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 120 Progress Way, Owenton, KY 40359 Phone: 844-655-6100 Fax: 502-484-2102 |