Dr Jesse Wayne Johnson Jr, MD | |
4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3315 | |
(407) 333-2273 | |
(407) 333-3939 |
Full Name | Dr Jesse Wayne Johnson Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 40 Years |
Location | 4106 W Lake Mary Blvd, Lake Mary, Florida |
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 |
---|---|---|---|
1245344571 | NPI | - | NPPES |
AM199 | Other | FL | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER |
PTAN DN9084 | Other | FL | MEDICARE RR |
4308871 | Other | FL | CIGNA |
0004104041 | Other | FL | AETNA |
04163 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME 49038 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Lake mary, FL | Home health agency |
Kindred At Home | Daytona beach, FL | Home health agency |
Adventhealth Home Care Central Florida | Orlando, FL | Home health agency |
Adventhealth Home Care East Florida | Ormond beach, FL | Home health agency |
Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
Orlando Health | Orlando, FL | Hospital |
Adventhealth Orlando | Orlando, FL | Hospital |
Adventhealth Fish Memorial | Orange city, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Heathrow Internal Medicine Llc | 5294801536 | 13 |
Entity Name | Heathrow Internal Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033387865 PECOS PAC ID: 5294801536 Enrollment ID: O20080910000226 |
Mailing Address | Practice Location Address |
---|---|
Dr Jesse Wayne Johnson Jr, MD 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3315 Ph: (407) 333-2273 | Dr Jesse Wayne Johnson Jr, MD 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3315 Ph: (407) 333-2273 |
Ashraf Jmeian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Williston Park Pt Ste 1000, Lake Mary, FL 32746 Phone: 407-833-8028 Fax: 407-833-8033 | |
Dr. Kalyani Gaddipati, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 917 Rinehart Rd, Suite 2051, Lake Mary, FL 32746 Phone: 407-936-2444 | |
Hiral P Patel, Internal Medicine Medicare: Medicare Enrolled Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346 | |
Dr. Zia Fatemi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 758 N Sun Dr, Suite #104, Lake Mary, FL 32746 Phone: 407-333-3303 Fax: 407-333-3342 | |
Dr. Clarylee Octaviani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 766 N Sun Dr Ste 3030, Lake Mary, FL 32746 Phone: 407-444-2800 Fax: 407-444-2810 | |
John F Ryan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd, Suite 301, Lake Mary, FL 32746 Phone: 407-333-2503 Fax: 407-333-0962 | |
Dr. Rashna Shetty, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346 |