| Gary D Johnson, MD | |
|
900 Douglas Pike, Smithfield, RI 02917-1879 | |
| (401) 618-5507 | |
| (866) 228-6713 |
| Full Name | Gary D Johnson |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 41 Years |
| Location | 900 Douglas Pike, Smithfield, Rhode Island |
| 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 |
|---|---|---|---|
| 1841226867 | NPI | - | NPPES |
| 1841226867 | Medicaid | RI | |
| 110047410A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD08010 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rhode Island Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brown Neurology | 2163312869 | 16 |
| Entity Name | Brown Neurology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366486102 PECOS PAC ID: 2163312869 Enrollment ID: O20040317000511 |
| Entity Name | Rhode Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154537520 PECOS PAC ID: 8921900044 Enrollment ID: O20141017000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary D Johnson, MD 15 La Salle Sq, Providence, RI 02903-1814 Ph: (401) 444-6779 | Gary D Johnson, MD 900 Douglas Pike, Smithfield, RI 02917-1879 Ph: (401) 618-5507 |
Dr. Susan Diane Weinman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 900 Douglas Pike, Smithfield, RI 02917 Phone: 401-618-5507 Fax: 401-444-3205 | |
Roderick C Spears, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 900 Douglas Pike, Smithfield, RI 02917 Phone: 401-618-5507 Fax: 401-444-3205 |