MEDICARE: ANNELLE RAE JOHNSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	2009017805	MO
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	N8798	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386670313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNELLE RAE JOHNSON MD

Provider Business Mailing Address
First Line	:	350 N CARTWRIGHT RD
Second Line	:
City	:	VAN ALSTYNE
State	:	TX
Zip	:	75495-7111
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 N CARTWRIGHT RD
Second Line	:
City	:	VAN ALSTYNE
State	:	TX
Zip	:	75495-7111
Country	:	US
Telephone Number	:	903-482-9153
Fax Number	:	903-482-9514

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	09/19/2011

Similar Medicare Providers

1164446308 — POLLY KNIGHT MD
Practice Location Address:

350 N CARTWRIGHT
VAN ALSTYNE, TX
75495-7111

Practice Phone: 903-482-9153
Practice Fax: 903-482-9514

1053819409 — SARA LECLEAR FNP
Practice Location Address:

250 N COLLIN MCKINNEY PARKWAY
VAN ALSTYNE, TX
75495-7111

Practice Phone: 903-482-9153
Practice Fax:

1730592239 — MOLLY GAMMELL APRN-CNP
Practice Location Address:

3625 LARIAT TRL
VAN ALSTYNE, TX
75495-7152

Practice Phone: 714-457-6149
Practice Fax:

1740286665 — DR. JOHN FRANCIS PSUTKA M.D.
Practice Location Address:

12302 F.M. 121 W.
VAN ALSTYNE, TX
75495-2135

Practice Phone: 903-482-5181
Practice Fax: 903-482-1290

1578555017 — ESSENTIAL HEALTH SYSTEMS, LLC
Practice Location Address:

250 E. MARSHALL
VAN ALSTYNE, TX
75495-9998

Practice Phone: 903-482-6400
Practice Fax: 903-482-6403

1235126103 — SENIOR HEALTH - MEADOWBROOK, LLC
Practice Location Address:

100 WINDSOR DR.
VAN ALSTYNE, TX
75495-0307

Practice Phone: 903-482-6455
Practice Fax: 903-482-6048

Directions to “ ANNELLE RAE JOHNSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.