| Andrew Robert Johnson, MD | |
|
4218 Lincolnshire Dr, Mount Vernon, IL 62864-2156 | |
| (618) 242-8480 | |
| (618) 242-8499 |
| Full Name | Andrew Robert Johnson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 27 Years |
| Location | 4218 Lincolnshire Dr, Mount Vernon, Illinois |
| 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 |
|---|---|---|---|
| 1164418943 | NPI | - | NPPES |
| 036121708 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 28808 (Mississippi) | Secondary |
| 208600000X | Surgery | 036121708 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hedrick Medical Center | Chillicothe, MO | Hospital |
| Wright Memorial Hospital | Trenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Lukes Hospital Of Chillicothe | 0143130393 | 16 |
| Entity Name | Saint Luke's Hospital Of Trenton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841274057 PECOS PAC ID: 3971495532 Enrollment ID: O20040327000339 |
| Entity Name | Saint Lukes Hospital Of Chillicothe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245433127 PECOS PAC ID: 0143130393 Enrollment ID: O20041014000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Robert Johnson, MD 4218 Lincolnshire Dr, Po Box 968, Mount Vernon, IL 62864-2156 Ph: (618) 242-8480 | Andrew Robert Johnson, MD 4218 Lincolnshire Dr, Mount Vernon, IL 62864-2156 Ph: (618) 242-8480 |
Naresh Kumar Ahuja, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4230 Lincolnshire Dr Ste A, Mount Vernon, IL 62864 Phone: 618-315-6466 Fax: 618-315-6469 | |
Kevin B Claffey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 | |
Mr. Steven J Clark, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864 Phone: 618-899-3980 Fax: 618-899-4793 | |
Kimberly Evonne Miller-hammond, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 770-617-5556 | |
William Alan Bishop, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864 Phone: 618-899-3980 | |
Alan Scott Harad, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 |