Susan Elaine Johnston, MD | |
1272 Garrison Dr, Murfreesboro, TN 37129-2598 | |
(615) 893-4480 | |
(615) 867-8182 |
Full Name | Susan Elaine Johnston |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1272 Garrison Dr, Murfreesboro, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912975566 | NPI | - | NPPES |
00120828 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 15521 (Mississippi) | Secondary |
208000000X | Pediatrics | MD42540 (Tennessee) | Primary |
Entity Name | Murfreesboro Medical Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487604609 PECOS PAC ID: 4789589227 Enrollment ID: O20031206000010 |
Entity Name | Sanitas Medical Center Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942839147 PECOS PAC ID: 5193143287 Enrollment ID: O20200922003239 |
Mailing Address | Practice Location Address |
---|---|
Susan Elaine Johnston, MD 1272 Garrison Dr, Murfreesboro, TN 37129-2598 Ph: (615) 893-4480 | Susan Elaine Johnston, MD 1272 Garrison Dr, Murfreesboro, TN 37129-2598 Ph: (615) 893-4480 |
Melita Melson Bradley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3626 Shelbyville Hwy, Murfreesboro, TN 37127 Phone: 615-893-4480 Fax: 615-867-7951 | |
Dr. Libby A. Long, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1370 Gateway Blvd., Suite 110, Murfreesboro, TN 37129 Phone: 615-890-9008 Fax: 615-890-0193 | |
Jeremy B Harrison, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3626 Shelbyville Hwy, Murfreesboro, TN 37127 Phone: 615-893-4480 Fax: 615-895-6212 | |
Jennifer A. Jehrio-butler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1370 Gateway Blvd, Suite 110, Murfreesboro, TN 37129 Phone: 615-890-9008 Fax: 615-890-0193 | |
Douglas J Collins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1272 Garrison Dr, Murfreesboro, TN 37129 Phone: 615-893-4480 Fax: 615-867-7951 | |
Dr. Michelle D Fiscus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 W Burton St, Murfreesboro, TN 37130 Phone: 615-898-7880 | |
Wanda B Cade, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1272 Garrison Dr, Murfreesboro, TN 37129 Phone: 615-893-4480 Fax: 615-867-7951 |