| Alan Charles Johnston, MD | |
|
1300 Braden St, Jacksonville, AR 72076-3719 | |
| (501) 985-5900 | |
| (501) 985-6016 |
| Full Name | Alan Charles Johnston |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1300 Braden St, Jacksonville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679579650 | NPI | - | NPPES |
| 143719001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E2645 (Arkansas) | Primary |
| Entity Name | Arkansas Central Primary Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396996740 PECOS PAC ID: 8729142682 Enrollment ID: O20090127000115 |
| Entity Name | Youth Home Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942266879 PECOS PAC ID: 4789806431 Enrollment ID: O20141112001724 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Charles Johnston, MD Po Box 309, Jacksonville, AR 72078-0309 Ph: (501) 985-5900 | Alan Charles Johnston, MD 1300 Braden St, Jacksonville, AR 72076-3719 Ph: (501) 985-5900 |
Miriam Gwenyth Morse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016 |
Cameron Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6022 |
Sridhar Reddy Madgula, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 W Main St, Jacksonville, AR 72076 Phone: 501-982-2108 Fax: 501-982-4951 |
Dr. John Daugherty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Braden St, Jacksonville, AR 72076 Phone: 501-982-0576 Fax: 501-982-0041 |
Robert Ross Ritchie, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016 |
Hira Ejaz Shah, M D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 |
Richard Lee Hayes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016 |