| Dr Jeremy Wayne Johnson, DO | |
|
1500 S Main St, Fort Worth, TX 76104-4917 | |
| (817) 927-1200 | |
| Not Available |
| Full Name | Dr Jeremy Wayne Johnson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 1500 S Main St, Fort Worth, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457521874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M8741 (Texas) | Secondary |
| 207Q00000X | Family Medicine | M8741 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beyondfaith Homecare & Rehab Of Graham Llc | Graham, TX | Home health agency |
| Solaris Hospice Inc | Decatur, TX | Hospice |
| Faith Community Hospital | Jacksboro, TX | Hospital |
| Hamilton Hospital | Olney, TX | Hospital |
| Jacksboro Healthcare Center | Jacksboro, TX | Nursing home |
| Garden Terrace Healthcare Center | Graham, TX | Nursing home |
| Grace Care Center Of Olney | Olney, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jack County Hospital District | 5890768675 | 22 |
| Olney-hamilton Hospital District | 9133029077 | 15 |
| Entity Name | Jack County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790777696 PECOS PAC ID: 5890768675 Enrollment ID: O20040819000032 |
| Entity Name | Southwest Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831299122 PECOS PAC ID: 6204882947 Enrollment ID: O20050325000524 |
| Entity Name | Texas Emergency Staffing Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811942949 PECOS PAC ID: 0345297610 Enrollment ID: O20050407001290 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Olney-hamilton Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801158787 PECOS PAC ID: 9133029077 Enrollment ID: O20120727000642 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Olney-hamilton Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942425343 PECOS PAC ID: 9133029077 Enrollment ID: O20170405001452 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Wayne Johnson, DO 732 Lionel Way, Fort Worth, TX 76108-4674 Ph: (817) 683-0354 | Dr Jeremy Wayne Johnson, DO 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 927-1200 |
Jonathan A Lazarini, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 903-353-2265 | |
Mrs. Adeline Galvez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104 Phone: 817-250-4987 | |
Fomundam Newnton Mbuh, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115 Phone: 817-382-0005 | |
Dr. Joane Baumer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104 Phone: 817-335-1034 | |
Evelyn Tobias-merrill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109 Phone: 817-257-7940 Fax: 817-257-7279 | |
Dr. Christian Ann Lance, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 8th Ave Ste 412, Fort Worth, TX 76104 Phone: 817-662-2006 Fax: 817-623-9598 | |
Dr. Michael David Carletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-0278 |