| Dr Chrystal Dian Johnson, MD | |
|
20602 Arch Street Pike, Hensley, AR 72065-9442 | |
| (501) 262-2602 | |
| (501) 891-5672 |
| Full Name | Dr Chrystal Dian Johnson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 20602 Arch Street Pike, Hensley, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497836563 | NPI | - | NPPES |
| 04010017400 | Other | AR | QUALCHOICE |
| 150345001 | Medicaid | AR | |
| P000900296 | Other | AR | RR MEDICARE |
| 5M652 | Other | AR | BLUE CROSS BLUE SHIELD |
| 1670460 | Other | AR | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-3700 (Arkansas) | Primary |
| Entity Name | D&d Doctors Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831626183 PECOS PAC ID: 5597025163 Enrollment ID: O20180131001186 |
| Entity Name | Purity Doctors Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356141899 PECOS PAC ID: 8224555024 Enrollment ID: O20250506000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chrystal Dian Johnson, MD 20602 Arch Street Pike, Hensley, AR 72065-9442 Ph: (501) 262-2602 | Dr Chrystal Dian Johnson, MD 20602 Arch Street Pike, Hensley, AR 72065-9442 Ph: (501) 262-2602 |
Melissa Ann Shepard, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21019 Highway 167 Ste 200, Hensley, AR 72065 Phone: 501-261-7630 | |
Robert E Walton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20798 Arch Street Pike, Hensley, AR 72065 Phone: 501-888-8200 Fax: 501-888-8201 | |
Joshua Aaron Motes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21019 Hwy 167, Suite 200, Hensley, AR 72065 Phone: 501-261-7630 Fax: 501-261-7625 | |
Tabatha Gail Vocque, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24005 Arch Street Pike Ste 16, Hensley, AR 72065 Phone: 501-475-8021 Fax: 866-485-0549 | |
Joshua Robert Vocque, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 24005 Arch Street Pike Ste 16, Hensley, AR 72065 Phone: 501-475-8021 Fax: 866-485-0549 |