| Matthew Johnston, MD | |
|
701 N 1st St, Springfield, IL 62781-0001 | |
| (217) 788-3156 | |
| Not Available |
| Full Name | Matthew Johnston |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 701 N 1st St, Springfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780628677 | NPI | - | NPPES |
| 0361028792 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | (Illinois) | Primary |
| Entity Name | Midwest Emergency Department Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245263367 PECOS PAC ID: 5193627727 Enrollment ID: O20040123000845 |
| Entity Name | Abraham Lincoln Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558586180 PECOS PAC ID: 9436040573 Enrollment ID: O20101123001008 |
| Entity Name | Passavant Memorial Area Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760994040 PECOS PAC ID: 3173503281 Enrollment ID: O20180508002390 |
| Entity Name | Abraham Lincoln Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154329753 PECOS PAC ID: 9436040573 Enrollment ID: O20191108001891 |
| Entity Name | Passavant Memorial Area Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1174580831 PECOS PAC ID: 3173503281 Enrollment ID: O20210624003149 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Johnston, MD Po Box 955277, Saint Louis, MO 63195-5277 Ph: Not Available | Matthew Johnston, MD 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 788-3156 |
Christopher Inabnit, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 |
Anjali Devendra Bhagat, Emergency Medicine Medicare: Medicare Enrolled Practice Location: Po Box 19679, Springfield, IL 62794 Phone: 217-545-3518 |
Megan Nicole Tomlin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 N 1st St Ste D220, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 |
Dr. Sumesh Jain, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-757-7465 Fax: 217-788-5591 |
Kelly Galanos, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 |
Dr. Shreya Lankala, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 |
Michaelia Vasilia Fosses Vuong, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 N 1st St Ste D220, Springfield, IL 62702 Phone: 217-545-3518 |