| Johnny Johnson, PA | |
|
4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | |
| (903) 408-5838 | |
| (903) 408-5839 |
| Full Name | Johnny Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 4211 Joe Ramsey Blvd, Greenville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477888196 | NPI | - | NPPES |
| 45-3870 | Other | TX | MEDICARE RHC NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA00777 (Texas) | Primary |
| Entity Name | Hunt Regional Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235435892 PECOS PAC ID: 7517137748 Enrollment ID: O20110826000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny Johnson, PA 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 Ph: (903) 408-7700 | Johnny Johnson, PA 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 Ph: (903) 408-5838 |
Miss Sherby Patrice Holloway, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4311 Wesley St, Greenville, TX 75401 Phone: 903-455-5958 Fax: 903-454-4514 |
Abigail Duncan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2327 E Beach Dr, Greenville, TX 75402 Phone: 903-413-0919 |
Deanna Grandstaff, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3900 Joe Ramsey Blvd E, Bldg #7, Greenville, TX 75401 Phone: 903-455-5654 |
Brayden Zachary Neff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5101 Wellington St Unit A, Greenville, TX 75402 Phone: 903-408-7768 Fax: 903-408-7769 |
Riley Parker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4501 Joe Ramsey Blvd E Ste 100, Greenville, TX 75401 Phone: 903-408-5800 Fax: 903-455-8232 |
Paul Laval Puckett, PAC Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4215 Joe Ramsey Blvd, Greenville, TX 75403 Phone: 903-408-5000 Fax: 214-712-2487 |
Courtney E. Tyson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401 Phone: 903-408-7700 Fax: 903-408-7810 |