| Dr James Albert Johnson Jr, M D | |
|
101 Skyline Dr, Russellville, AR 72801-3363 | |
| (479) 968-2345 | |
| Not Available |
| Full Name | Dr James Albert Johnson Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 50 Years |
| Location | 101 Skyline Dr, Russellville, Arkansas |
| 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 |
|---|---|---|---|
| 1053378257 | NPI | - | NPPES |
| 100074240A | Medicaid | OK | |
| 152160001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 11075 (Oklahoma) | Secondary |
| 208600000X | Surgery | C-4945 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Regional Medical Center | Russellville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Physician Services Llc | 4981698032 | 40 |
| Entity Name | South Arkansas Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427018704 PECOS PAC ID: 0749273670 Enrollment ID: O20040406001623 |
| Entity Name | St Marys Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Albert Johnson Jr, M D 2534 S Birmingham Pl, Tulsa, OK 74114-3226 Ph: (918) 625-3300 | Dr James Albert Johnson Jr, M D 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345 |
Kevin Meyer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7180 | |
Dr. James Mark Myers, MD Surgery Medicare: Medicare Enrolled Practice Location: 1808 West Main St, Russellville, AR 72801 Phone: 479-967-0799 Fax: 479-967-0798 | |
Michael Francis Bell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7180 | |
Dr. Frederick H Perkins, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-2497 | |
Mateo Guarderas Ribadeneira, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7180 | |
Zbigniew T Beyga, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7180 |