| Greg R Johnson, DO | |
|
3909 New Vision Dr, Fort Wayne, IN 46845-1725 | |
| (260) 469-6602 | |
| (260) 969-3065 |
| Full Name | Greg R Johnson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 3909 New Vision Dr, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013960269 | NPI | - | NPPES |
| P00895098 | Other | IN | R.R. MEDICARE |
| 000000675115 | Other | IN | ANTHEM |
| 200015220 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 02001531A (Indiana) | Primary |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Greg R Johnson, DO 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: Not Available | Greg R Johnson, DO 3909 New Vision Dr, Fort Wayne, IN 46845-1725 Ph: (260) 469-6602 |
Dr. Dustin M Thomas, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910 |
Eileen Jill Ramos Muzzillo, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605 |
John T Ducker, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188 |
Mr. Kenneth A Smith, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255 |
Dr. Carl M Williams, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740 |
Dr. Ashish Sharma, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804 Phone: 260-432-2297 Fax: 260-969-7266 |
Dr. Carol P Garrean, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605 |