| Dr Homer Thomas Johnson Ii, MD | |
|
1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8781 | |
| (636) 498-7880 | |
| (636) 498-7889 |
| Full Name | Dr Homer Thomas Johnson Ii |
|---|---|
| Gender | Male |
| Speciality | Sleep Medicine |
| Experience | 21 Years |
| Location | 1475 Kisker Rd, Saint Charles, Missouri |
| 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 |
|---|---|---|---|
| 1932223898 | NPI | - | NPPES |
| 205475809 | Medicaid | MO |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 500 |
| Entity Name | Ssm Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Homer Thomas Johnson Ii, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Dr Homer Thomas Johnson Ii, MD 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8781 Ph: (636) 498-7880 |
Dr. Jenny Lynn Miele, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208 | |
Dr. Erin Elizabeth Casey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208 | |
Dr. Nadira Adil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1551 Wall St, 4th Floor, Saint Charles, MO 63303 Phone: 636-669-2443 Fax: 636-669-2401 | |
Dr. Keith J Moll, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303 Phone: 636-669-2443 Fax: 636-669-2390 | |
Dr. Fariba Azarpour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303 Phone: 636-669-2443 Fax: 636-669-2390 | |
Dr. Matthew John Cormier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208 | |
Dr. Andrea Cohron Orr, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208 |