| Dr Gregory Leigh Johnson, MD | |
|
4314 Medical Pkwy, Suite 200, Austin, TX 78756-3334 | |
| (512) 454-1110 | |
| (512) 374-1354 |
| Full Name | Dr Gregory Leigh Johnson |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 36 Years |
| Location | 4314 Medical Pkwy, Austin, 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 |
|---|---|---|---|
| 1437107331 | NPI | - | NPPES |
| 137308612 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | K0846 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dell Children's Medical Center Of Central Texas | Austin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dell Childrens Medical Group | 8224092978 | 78 |
| Entity Name | Dell Childrens Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030 |
| Entity Name | Magella Medical Associates Billing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Leigh Johnson, MD 4314 Medical Pkwy, Suite 200, Austin, TX 78756-3334 Ph: (512) 454-1110 | Dr Gregory Leigh Johnson, MD 4314 Medical Pkwy, Suite 200, Austin, TX 78756-3334 Ph: (512) 454-1110 |
Dr. Lorraine E. Powell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1912 W 35th St, Austin, TX 78703 Phone: 512-451-5161 Fax: 512-451-1258 | |
Alyssa Walden, Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 N. I-35, Suite 770, Austin, TX 78705 Phone: 478-301-2600 | |
Dr. Anusha Chinthaparthi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9835 N Lake Creek Pkwy, Austin, TX 78717 Phone: 832-826-1380 Fax: 832-825-2799 | |
Dr. Gurpreet Basraon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12201 Renfert Way Ste 105, Austin, TX 78758 Phone: 877-800-5722 | |
Elizabeth C. Knapp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6835 Austin Center Blvd, Austin, TX 78731 Phone: 512-346-6611 Fax: 512-231-5204 | |
Scott A Broberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3816 S.1st St., Austin, TX 78704 Phone: 512-443-1311 Fax: 512-406-6266 | |
Roozbeh Taeed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4900 Mueller Blvd # 2h.012c, Austin, TX 78723 Phone: 512-324-3360 Fax: 512-380-7532 |