| Kyle E Johnson, MD | |
|
515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 | |
| (479) 717-7626 | |
| (479) 717-7327 |
| Full Name | Kyle E Johnson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 19 Years |
| Location | 515 Enterprise Dr, Lowell, Arkansas |
| 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 |
|---|---|---|---|
| 1730307570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | E-7121 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of North Carolina At Chapel Hill | 0648181156 | 1826 |
| Arisa Health Inc | 2264853829 | 50 |
| Ozark Guidance Center, Inc | 7214833730 | 30 |
| Entity Name | University Of North Carolina At Chapel Hill |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
| Entity Name | Caldwell Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477839108 PECOS PAC ID: 5395646970 Enrollment ID: O20040116000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle E Johnson, MD 515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 Ph: (479) 717-7626 | Kyle E Johnson, MD 515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 Ph: (479) 717-7626 |
Priyanka Baweja, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 515 Enterprise Dr Ste 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7627 | |
Tonya M Balmakund, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 519 Latham Dr, Lowell, AR 72745 Phone: 479-750-0125 Fax: 479-756-4154 | |
Crystal L. Deweese, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 515 Enterprise Dr, Lowell, AR 72745 Phone: 479-717-7626 Fax: 471-717-7327 | |
Robin Lianne Forward-wise, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 515 Enterprise Dr, Suite 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7627 | |
Dr. Bradley G Goodson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 519 Latham Dr, Lowell, AR 72745 Phone: 479-750-0125 Fax: 479-750-0323 | |
Dr. Randal Scott Scholma, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 515 Enterprise Dr, Suite 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7327 |