| Jody Michael Johnson, DO | |
|
5000 Ky Route 321, Suite 3141, Prestonsburg, KY 41653 | |
| (606) 889-6240 | |
| (606) 886-9908 |
| Full Name | Jody Michael Johnson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 5000 Ky Route 321, Prestonsburg, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588692503 | NPI | - | NPPES |
| 64121213 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 02979 (Kentucky) | Secondary |
| 208600000X | Surgery | 02979 (Kentucky) | Primary |
| Entity Name | Mercy Physician Practices, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598885832 PECOS PAC ID: 7214036011 Enrollment ID: O20070620000033 |
| Entity Name | Clhg-avoyelles Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639618853 PECOS PAC ID: 8921380528 Enrollment ID: O20180828001494 |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Michael Johnson, DO Po Box 1239, Prestonsburg, KY 41653-5239 Ph: (606) 889-6240 | Jody Michael Johnson, DO 5000 Ky Route 321, Suite 3141, Prestonsburg, KY 41653 Ph: (606) 889-6240 |
Dr. Chad O Patterson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 University Dr, Suite 203, Prestonsburg, KY 41653 Phone: 606-886-8183 Fax: 606-886-0575 | |
Dr. Syed G Badrudduja, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 University Dr Ste 203, Prestonsburg, KY 41653 Phone: 606-886-8183 Fax: 606-886-0575 | |
Dr. James H. Rothstein, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-1316 | |
Dr. Artour G Asrian, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-8511 | |
Mohammed Medhat Kassem, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-7645 Fax: 606-889-6206 |