| Kevin Johnson, | |
|
1045 James Street, Syracuse, NY 13203 | |
| (315) 472-4471 | |
| (315) 999-1377 |
| Full Name | Kevin Johnson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 11 Years |
| Location | 1045 James Street, Syracuse, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396155511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 294176 (New York) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 294176 (New York) | Primary |
| Entity Name | Crouse Medical Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922321934 PECOS PAC ID: 8426189622 Enrollment ID: O20100702000336 |
| Entity Name | Psychiatry Faculty Practice, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881084820 PECOS PAC ID: 9234458530 Enrollment ID: O20150508000699 |
| Entity Name | K Johnson Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548892201 PECOS PAC ID: 5890113864 Enrollment ID: O20200909000243 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Johnson, 129 Saddlestone Pl Apt A, Camillus, NY 13031-1688 Ph: (248) 914-8091 | Kevin Johnson, 1045 James Street, Syracuse, NY 13203 Ph: (315) 472-4471 |
Mantosh J Dewan, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-3105 Fax: 315-464-3163 | |
Deborah Y Bradshaw, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz, 4th Floor, Syracuse, NY 13202 Phone: 315-464-4243 Fax: 315-464-5359 | |
Sarah Rosner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Cpep, Syracuse, NY 13203 Phone: 315-726-8610 Fax: 315-726-8667 | |
Wilbur Theodore Albrecht Iii, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 620 Madison St, Hutchings Psychiatric Center, Syracuse, NY 13210 Phone: 315-426-3600 Fax: 315-426-7641 | |
Dr. Clarence G. White, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 Prospect Ave, Cpep, Syracuse, NY 13203 Phone: 315-726-8610 Fax: 315-726-8667 | |
Dr. Wendy Anne Armenta, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4400 | |
Dr. Ahmed R Nizar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 742 James St, Outpatient Mental Health Services, Syracuse, NY 13203 Phone: 315-703-2700 Fax: 315-703-2700 |