| Johnny Creed Stewart, MD | |
|
815 Pecan Grove Rd E, Sherman, TX 75090-1768 | |
| (903) 892-2126 | |
| (903) 892-2129 |
| Full Name | Johnny Creed Stewart |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 29 Years |
| Location | 815 Pecan Grove Rd E, Sherman, 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 |
|---|---|---|---|
| 1730157439 | NPI | - | NPPES |
| 151083601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | L3843 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tulsa Dermatology Clinic Inc | 7719079839 | 8 |
| Entity Name | Tulsa Dermatology Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194741561 PECOS PAC ID: 7719079839 Enrollment ID: O20070822000178 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny Creed Stewart, MD 815 Pecan Grove Rd E, Sherman, TX 75090-1768 Ph: (903) 892-2126 | Johnny Creed Stewart, MD 815 Pecan Grove Rd E, Sherman, TX 75090-1768 Ph: (903) 892-2126 |
Matthew Helm, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 230 E Sycamore St Ste 305, Sherman, TX 75090 Phone: 903-771-4613 Fax: 903-698-6376 | |
Clint Cameron Moss, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 815 Pecan Grove Rd E, Sherman, TX 75090 Phone: 903-892-2126 Fax: 903-992-2129 | |
Mark David Koone, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 230 E Sycamore St Ste 305, Sherman, TX 75090 Phone: 903-771-4613 Fax: 903-698-6376 |