| Spencer Jacob Johnson, MD | |
|
5629 Hwy 21 S, Rincon, GA 31326 | |
| (912) 295-2133 | |
| Not Available |
| Full Name | Spencer Jacob Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 5629 Hwy 21 S, Rincon, Georgia |
| 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 |
|---|---|---|---|
| 1750731618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 81790 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
| Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
| Mount Pleasant Hospital | Mount pleasant, SC | Hospital |
| Roper Hospital | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Broad River Physicians Group, Llc | 8123385143 | 56 |
| Entity Name | Broad River Physicians Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295443000 PECOS PAC ID: 8123385143 Enrollment ID: O20230103000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Jacob Johnson, MD 5629 Hwy 21 S, Rincon, GA 31326-9416 Ph: (912) 295-2133 | Spencer Jacob Johnson, MD 5629 Hwy 21 S, Rincon, GA 31326 Ph: (912) 295-2133 |
Dr. Thomas Reagan Wolf, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5629 Hwy 21 S, Rincon, GA 31326 Phone: 912-295-2133 Fax: 912-295-5924 | |
Carlene Williams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5629 Highway 21 S, Rincon, GA 31326 Phone: 912-295-2133 | |
Mr. Mark F Coffey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5629 Hwy. 21 South, Rincon, GA 31326 Phone: 912-295-2133 Fax: 912-295-5924 | |
Megan D Hershey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5629 Hwy 21 S, Rincon, GA 31326 Phone: 912-295-2133 | |
James R Gill, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5629 Hwy 21 South, Rincon, GA 31326 Phone: 912-295-2133 Fax: 912-295-5924 | |
Andrew R Tee Vi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5629 Hwy 21 South, Rincon, GA 31326 Phone: 912-295-2133 Fax: 912-295-5924 | |
David Stephen Wong, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5629 Hwy 21 S, Rincon, GA 31326 Phone: 912-295-2133 Fax: 912-295-5924 |