| Lee Roy W Johnson, MD | |
|
927 Broadway St, Quincy, IL 62301-2719 | |
| (217) 224-4453 | |
| (217) 224-9383 |
| Full Name | Lee Roy W Johnson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 62 Years |
| Location | 927 Broadway St, Quincy, Illinois |
| 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 |
|---|---|---|---|
| 1841385937 | NPI | - | NPPES |
| 732001 | Other | LA | BLUE CROSS BLUE SHIELD |
| 202602405 | Medicaid | MO | |
| 036078085 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036-078085 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blessing Hospital | Quincy, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blessing Hospital | 3072422534 | 369 |
| Entity Name | Blessing Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255515342 PECOS PAC ID: 3072422534 Enrollment ID: O20040330001155 |
| Entity Name | Blessing Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Roy W Johnson, MD 927 Broadway St, Quincy, IL 62301-2719 Ph: (217) 224-4453 | Lee Roy W Johnson, MD 927 Broadway St, Quincy, IL 62301-2719 Ph: (217) 224-4453 |
Dr. Austin Hake, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1118 Hampshire St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dr. Ahmed Jouan, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-214-6240 Fax: 217-223-3641 | |
Muhammad Awais Arshid, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Linda M Johnson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Alborz Javadzadeh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-4453 Fax: 217-224-9383 | |
Dr. Schvon Leigh Cummings, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-4453 Fax: 217-224-9383 | |
Mary I Dobbins, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 |