| Jack Alston Johnson, MD | |
|
2300 Lone Star Rd, Mansfield, TX 76063-8744 | |
| (877) 847-9355 | |
| Not Available |
| Full Name | Jack Alston Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 2300 Lone Star Rd, Mansfield, Texas |
| 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 |
|---|---|---|---|
| 1881129419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R9985 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Medicine Resources, Llp | 5890688212 | 229 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Texas Physician Resources, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639413289 PECOS PAC ID: 7012161375 Enrollment ID: O20130214000159 |
| Entity Name | Texas Medicine Resources, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Pediatric Emergency Medicine Group, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629448535 PECOS PAC ID: 9931409943 Enrollment ID: O20151124000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Alston Johnson, MD 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 Ph: (817) 496-9700 | Jack Alston Johnson, MD 2300 Lone Star Rd, Mansfield, TX 76063-8744 Ph: (877) 847-9355 |
Dr. Leroy Paul Foster Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2208 Stonebridge Ln, Mansfield, TX 76063 Phone: 817-453-5123 Fax: 817-453-5124 | |
Dr. Jerry Lamont Mckenzie, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1720 E Broad St, Mansfield, TX 76063 Phone: 817-453-5912 | |
Kimberli Omwanghe, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 221 Regency Pkwy Ste 121, Mansfield, TX 76063 Phone: 817-477-5884 Fax: 817-453-8091 | |
Dr. Shawn M. Corwin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 995 N Walnut Creek Dr, Mansfield, TX 76063 Phone: 817-453-6980 | |
Mr. Warren Paul Roquet, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12012 Saddlehorn Ln, Mansfield, TX 76063 Phone: 979-492-9268 | |
Alexander Charles Deri, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-242-2000 | |
Shoaib H Saya, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 987 N Walnut Creek Dr Ste 101, Mansfield, TX 76063 Phone: 682-214-4405 Fax: 682-214-3404 |