Matthew David Johnson, MD | |
747 N Rutledge St, 5th Floor, Springfield, IL 62702-6700 | |
(217) 545-8000 | |
(217) 545-7773 |
Full Name | Matthew David Johnson |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 15 Years |
Location | 747 N Rutledge St, Springfield, 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 |
---|---|---|---|
1881824647 | NPI | - | NPPES |
036139255 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 036-139255 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Springfield, IL | Hospital |
St Johns Hospital | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Siu Physicians And Surgeons Inc | 2365352820 | 275 |
Entity Name | Siu Physicians & Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
Mailing Address | Practice Location Address |
---|---|
Matthew David Johnson, MD 747 N Rutledge St, Po Box 19638, Springfield, IL 62702-6700 Ph: (217) 545-8000 | Matthew David Johnson, MD 747 N Rutledge St, 5th Floor, Springfield, IL 62702-6700 Ph: (217) 545-8000 |
Sophia Matos, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 | |
Sara M. Wing, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 301 N 8th St Ste 5b, Springfield, IL 62701 Phone: 217-545-8000 | |
Dana Lynn Crosby, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Suite Pav5b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-0253 | |
Cindy Margaret Moore, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-0253 | |
Leonard P Rybak, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7781 | |
Rachel Karras, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 | |
Mitchell Louis Heuermann, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-6544 |