Mr Richard C Johnson, CRNA | |
2829 E Highway 76, Mullins, SC 29574-6035 | |
(843) 431-2542 | |
Not Available |
Full Name | Mr Richard C Johnson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 27 Years |
Location | 2829 E Highway 76, Mullins, South Carolina |
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 |
---|---|---|---|
1578506929 | NPI | - | NPPES |
P00621218 | Other | SC | RR MEDICARE |
AN0882 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 101 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcleod Physician Associates Ii | 8224031307 | 543 |
Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154371433 PECOS PAC ID: 7416851852 Enrollment ID: O20031126000251 |
Entity Name | Mcleod Medical Center-dillon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720033988 PECOS PAC ID: 3476465311 Enrollment ID: O20031203000480 |
Entity Name | Carolina Anesthesia Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040112000005 |
Entity Name | Mcleod Physician Associates Ii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
Entity Name | Coastal Healthcare Resources Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467635128 PECOS PAC ID: 1658283593 Enrollment ID: O20080225000004 |
Entity Name | Mcleod Health Cheraw |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275912974 PECOS PAC ID: 7911228259 Enrollment ID: O20151218002079 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard C Johnson, CRNA Po Box 1547, Sedalia, MO 65302-1547 Ph: (660) 826-5960 | Mr Richard C Johnson, CRNA 2829 E Highway 76, Mullins, SC 29574-6035 Ph: (843) 431-2542 |