| Dr Mary H Johnson, MD | |
|
16000 Johnston Memorial Dr, 4th Floor, Abingdon, VA 24211-7664 | |
| (276) 258-4050 | |
| (276) 258-4056 |
| Full Name | Dr Mary H Johnson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 16000 Johnston Memorial Dr, Abingdon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801896022 | NPI | - | NPPES |
| 1801896022 | Medicaid | VA | |
| 46440 | Other | NC | BCBS |
| Q015237 | Medicaid | TN | |
| 8946440 | Medicaid | NC | |
| NPI | Other | NC | MEDCOST |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary H Johnson, MD 16000 Johnston Memorial Dr, 4th Floor, Abingdon, VA 24211-7664 Ph: (276) 258-4050 | Dr Mary H Johnson, MD 16000 Johnston Memorial Dr, 4th Floor, Abingdon, VA 24211-7664 Ph: (276) 258-4050 |
Dr. Sarah Ann Seeley-dick, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 391 Falls Dr Nw, Abingdon, VA 24210 Phone: 276-739-2920 Fax: 276-739-2921 | |
Dr. Pamela A Myers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 26210 Lee Hwy, Abingdon, VA 24211 Phone: 276-623-8100 Fax: 276-623-8126 | |
John Sidney Moree, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: High Lands Pediatrics, 26210 Lee Highway, Abingdon, VA 24211 Phone: 276-623-8188 Fax: 276-623-8126 | |
Elizabeth Lundeen Turner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16000 Johnston Memorial Dr, 4th Floor, Abingdon, VA 24211 Phone: 276-258-4050 Fax: 276-258-4056 | |
Dr. Tara Etter, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 391 Falls Dr Nw, Abingdon, VA 24210 Phone: 276-739-2920 Fax: 276-739-2921 | |
Joshua Godwin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 16000 Johnston Memorial Dr, Abingdon, VA 24211 Phone: 276-258-1000 | |
Helen C Johnston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 26210 Lee Hwy, Abingdon, VA 24211 Phone: 276-623-8100 Fax: 276-623-8126 |