| Douglas Frederick Johnston, DO | |
|
6210 S Broadway Ave, Tyler, TX 75703-4413 | |
| (903) 579-2700 | |
| (903) 534-9463 |
| Full Name | Douglas Frederick Johnston |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 6210 S Broadway Ave, Tyler, 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 |
|---|---|---|---|
| 1083641559 | NPI | - | NPPES |
| P00050031 | Other | MEDICARE RR | |
| 8J0326 | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L7432 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Home Health Services | Pittsburg, TX | Home health agency |
| At Home Healthcare | Henderson, TX | Home health agency |
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etmc Physician Group, Inc. | 4486915600 | 309 |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Frederick Johnston, DO Po Box 9477, Tyler, TX 75711-9477 Ph: (903) 594-2450 | Douglas Frederick Johnston, DO 6210 S Broadway Ave, Tyler, TX 75703-4413 Ph: (903) 579-2700 |
Dr. John W Scroggins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060 | |
Dr. James Kent Gray, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707 Phone: 903-655-0880 Fax: 903-654-6415 | |
Dr. Eric R Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Manhatton, Tyler, TX 75701 Phone: 903-509-8888 | |
Michele C Bosworth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 Fax: 903-877-5080 | |
Dr. James A Lively, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Manhatton Dr, Tyler, TX 75701 Phone: 903-509-8888 | |
Steven J Cohen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8764 | |
Andrea M Ellis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060 |