Richard Johnson, CRNA | |
811 S Washington Ave, Marshall, TX 75670-5336 | |
(903) 315-1488 | |
Not Available |
Full Name | Richard Johnson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 24 Years |
Location | 811 S Washington Ave, Marshall, 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 |
---|---|---|---|
1811945926 | NPI | - | NPPES |
140494904 | Medicaid | TX | |
86081U | Other | TX | BCBSTX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 613247 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP110601 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Good Shepherd Medical Center | Longview, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Good Shepherd Medical Center | 3779565544 | 38 |
Endo Sedation Llc | 4789845363 | 291 |
Entity Name | Christus Good Shepherd Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760908404 PECOS PAC ID: 3779565544 Enrollment ID: O20040604000400 |
Entity Name | Metroplex Anesthesia Consultants, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427209790 PECOS PAC ID: 2062576119 Enrollment ID: O20090204000312 |
Entity Name | Endo Sedation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
Mailing Address | Practice Location Address |
---|---|
Richard Johnson, CRNA 804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464 Ph: (800) 394-4445 | Richard Johnson, CRNA 811 S Washington Ave, Marshall, TX 75670-5336 Ph: (903) 315-1488 |
Thomas William Krudewig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 811 S Washington Ave, Marshall, TX 75670 Phone: 903-927-6770 Fax: 903-927-6377 | |
Arris Lee Slaughter Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 811 S Washington Ave, Marshall, TX 75670 Phone: 903-927-6770 Fax: 903-927-6377 | |
Mr. Stanley C Crawford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9742 Fm 2625 E, Marshall, TX 75672 Phone: 903-472-0023 | |
Mark Watson Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 811 S Washington Ave, Marshall, TX 75670 Phone: 903-927-6770 Fax: 903-927-6377 |