| Dr William E Johnston Jr, MD | |
|
1901 Mission 66, Vicksburg, MS 39180-3711 | |
| (601) 636-0097 | |
| (601) 629-9969 |
| Full Name | Dr William E Johnston Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 1901 Mission 66, Vicksburg, Mississippi |
| 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 |
|---|---|---|---|
| 1265456206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 19317 (Mississippi) | Secondary |
| 207Q00000X | Family Medicine | 19317 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center-yazoo | Yazoo city, MS | Hospital |
| Baptist Medical Center Attala | Kosciusko, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yazoo Emergency Group, Llc | 0749511574 | 16 |
| Attala Emergency Group Llc | 5294984340 | 9 |
| Entity Name | Attala Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407103294 PECOS PAC ID: 5294984340 Enrollment ID: O20121004000363 |
| Entity Name | Comprehensive Hospitalists Of Ms, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467856385 PECOS PAC ID: 6709101322 Enrollment ID: O20150202001604 |
| Entity Name | App Of Mississippi Ed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Entity Name | Leake Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669028130 PECOS PAC ID: 4486985256 Enrollment ID: O20191009000078 |
| Entity Name | Yazoo Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447806914 PECOS PAC ID: 0749511574 Enrollment ID: O20191009002380 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William E Johnston Jr, MD 1901 Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-0097 | Dr William E Johnston Jr, MD 1901 Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-0097 |
Dr. Robert C Masterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-8244 | |
Carlos Alberto Latorre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 | |
Stanley R Easterling, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 104 Mcauley Dr, Vicksburg, MS 39183 Phone: 601-638-7271 | |
George Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Mission 66, Vicksburg, MS 39180 Phone: 601-619-3838 | |
John R Barnes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969 | |
Dr. Robert Michael Cannon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969 | |
Breanna Heard-pinho, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-1050 Fax: 601-631-2337 |