| Douglas Mark Johnson, DO | |
|
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
| (336) 716-2255 | |
| Not Available |
| Full Name | Douglas Mark Johnson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | Medical Center Blvd, Winston Salem, North 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 |
|---|---|---|---|
| 1811974553 | NPI | - | NPPES |
| 5902558 | Medicaid | NC |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Health | Columbia, SC | Hospital |
| Musc Health Lancaster Medical Center | Lancaster, SC | Hospital |
| Kershawhealth | Camden, SC | Hospital |
| Musc Medical Center | Charleston, SC | Hospital |
| Musc Health Chester Medical Center | Chester, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Medical Associates Of The Medical University Of South Carol | 6305758574 | 1472 |
| Musc Community Physicians | 6507260668 | 984 |
| Entity Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Mark Johnson, DO 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2189 Ph: (704) 867-8021 | Douglas Mark Johnson, DO Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
Janet K. Horton, MD Radiology Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Caroline Chiles, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. James L Sanderford Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1365 Westgate Center Dr, Suite K-1, Winston Salem, NC 27103 Phone: 336-760-4450 Fax: 336-760-6197 | |
Dr. Tatum S Johnson, MD Radiology Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-3202 | |
Jao Ou, Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
Dr. Constantinos Theodoros Spyris, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3010 Trenwest Dr Ste 200, Winston Salem, NC 27103 Phone: 336-970-5300 Fax: 336-970-5298 | |
Dr. Marcella Maria Butler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3155 Maplewood Ave, Winston Salem, NC 27103 Phone: 336-794-4372 Fax: 336-659-2379 |