| Dr Jack Leegon Johnson Jr, MD | |
|
560 W Main St, Suite 100, Lewisville, TX 75057-3629 | |
| (972) 436-9797 | |
| (972) 436-9790 |
| Full Name | Dr Jack Leegon Johnson Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 560 W Main St, Lewisville, 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 |
|---|---|---|---|
| 1801859996 | NPI | - | NPPES |
| 0047LP | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H5576 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Presbyterian Hospital Flower Mound | Flower mound, TX | Hospital |
| Medical City Lewisville | Lewisville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Health Physicians Group | 4385535954 | 1232 |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114395969 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Leegon Johnson Jr, MD 560 W Main St, Suite 100, Lewisville, TX 75057-3629 Ph: (972) 436-9797 | Dr Jack Leegon Johnson Jr, MD 560 W Main St, Suite 100, Lewisville, TX 75057-3629 Ph: (972) 436-9797 |
Sheldon K Cho, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Macarthur Blvd Ste 701, Lewisville, TX 75067 Phone: 972-837-9345 Fax: 972-382-5035 | |
Phillip H Disraeli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Fm 544 Ste 200, Lewisville, TX 75056 Phone: 469-800-4250 Fax: 469-800-4260 | |
Hollie Gaeto, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1945 Lakepointe Dr, Lewisville, TX 75057 Phone: 564-216-0831 | |
Archana Chandra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 N Valley Pkwy, Suite 1, Lewisville, TX 75067 Phone: 972-353-8616 Fax: 972-353-5352 | |
Dr. Smart O Idemudia, M.D., PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W. Southwest Pkwy, Lewisville, TX 75067 Phone: 972-420-6777 Fax: 972-420-0656 | |
Hardik A Shah, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1945 Lakepointe Dr, Lewisville, TX 75057 Phone: 800-835-2362 | |
Daniel S Sone, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2012 Justin Rd Ste 100, Lewisville, TX 75077 Phone: 972-317-1110 Fax: 972-317-1556 |