| Dr John R Johnson, MD | |
| 95 Bryan Blvd, Corbin, KY 40701-2788 | |
| (606) 526-4590 | |
| (606) 526-0548 | 
| Full Name | Dr John R Johnson | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 95 Bryan Blvd, Corbin, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417028762 | NPI | - | NPPES | 
| 21412 | Other | KY | KY LIC# | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 21412 (Kentucky) | Secondary | 
| 207Q00000X | Family Medicine | 21412 (Kentucky) | Primary | 
| Entity Name | Baptist Health Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr John R Johnson, MD Po Box 950248, Louisville, KY 40295-0248 Ph: (502) 489-5730 | Dr John R Johnson, MD 95 Bryan Blvd, Corbin, KY 40701-2788 Ph: (606) 526-4590 | 
| Bertha M Blevins,  Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 299 Clear View Dr, Corbin, KY 40701 Phone: 606-261-1428 | |
| Dr. Bruce R Jung, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 46 Marisa Ct, Corbin, KY 40701 Phone: 606-280-1514 | |
| David L Winkle, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 95 Bryan Blvd, Corbin, KY 40701 Phone: 606-526-4590 Fax: 606-526-0548 | |
| Dr. Cherie O. Gambrel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14949 N Us Highway 25 E, Ste. 4, Corbin, KY 40701 Phone: 606-528-0305 Fax: 606-523-4368 | |
| Jessica Bennett, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 96 Future Dr, Corbin, KY 40701 Phone: 606-528-0305 | |
| Alyssa Monica Anciro,  Family Medicine Medicare: Medicare Enrolled Practice Location: 2 Trillium Way Ste 106, Corbin, KY 40701 Phone: 606-526-4070 Fax: 606-526-4072 | |
| Dr. Nikhil Sharad Parulekar, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 141 East Cumberland Gap Pkwy., Corbin, KY 40701 Phone: 606-528-1234 Fax: 606-528-2727 |