| Mark L Johnson, MD | |
|
405 Londonderry Dr Ste 105, Waco, TX 76712-7920 | |
| (254) 776-0266 | |
| Not Available |
| Full Name | Mark L Johnson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 42 Years |
| Location | 405 Londonderry Dr Ste 105, Waco, 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 |
|---|---|---|---|
| 1427023365 | NPI | - | NPPES |
| 131199509 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G5225 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Health Center | Waco, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid Tex Anesthesia Assoc | 5395815369 | 27 |
| Entity Name | Mid Tex Anesthesia Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174612857 PECOS PAC ID: 5395815369 Enrollment ID: O20080603000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark L Johnson, MD 405 Londonderry Dr Ste 105, Waco, TX 76712-7920 Ph: (254) 776-0266 | Mark L Johnson, MD 405 Londonderry Dr Ste 105, Waco, TX 76712-7920 Ph: (254) 776-0266 |
Thomas J Valigura, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 Fax: 254-202-5849 | |
Kyle Sulak, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr Ste 105, Waco, TX 76712 Phone: 254-776-0266 | |
Dr. Rachel Backstrom, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 | |
Holly W Davis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr, Suite 105, Waco, TX 76712 Phone: 254-776-0266 Fax: 254-776-2511 | |
Casey D Hector, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr, Suite 105, Waco, TX 76712 Phone: 254-776-0266 Fax: 254-776-2511 | |
Jeffrey T Manning, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr, Suite 105, Waco, TX 76712 Phone: 254-776-0266 Fax: 254-776-2511 | |
Jose Miguel Soto, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 Fax: 254-202-5849 |