Dr Keith B Johnson, MD | |
1370 E Venice Ave, Suite 202, Venice, FL 34285-9082 | |
(941) 480-0500 | |
(941) 480-9322 |
Full Name | Dr Keith B Johnson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | 1370 E Venice Ave, Venice, 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 |
---|---|---|---|
1184695710 | NPI | - | NPPES |
372134500 | Medicaid | FL | |
203445431 | Other | FL | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME58404 (Florida) | Secondary |
207R00000X | Internal Medicine | ME58404 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarasota Memorial Hospital | Sarasota, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Empath Therapies Llc | 5496144529 | 57 |
Millennium Physician Group Llc | 9830244433 | 789 |
Entity Name | Millennium Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
Mailing Address | Practice Location Address |
---|---|
Dr Keith B Johnson, MD 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Dr Keith B Johnson, MD 1370 E Venice Ave, Suite 202, Venice, FL 34285-9082 Ph: (941) 480-0500 |
Dr. Astrid Giselle Figueroa, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Palermo Pl, Venice, FL 34285 Phone: 941-488-1906 Fax: 941-244-9326 | |
Dr. Tariq J Khan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8421 Pointe Loop Dr, Venice, FL 34293 Phone: 941-412-9787 Fax: 941-480-0388 | |
William J Schulte, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1720 E. Venice Avenue, Venice, FL 34292 Phone: 941-483-9700 Fax: 941-483-9715 | |
Dr. Deven Dave, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 517 Riviera Street, Suite C, Venice, FL 34285 Phone: 941-488-2234 | |
Danielle Wright, APRN Internal Medicine Medicare: Medicare Enrolled Practice Location: 219 Palermo Pl, Venice, FL 34285 Phone: 941-244-9524 | |
Dr. Alka Nair, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Tamiami Trl S, Suite 102, Venice, FL 34285 Phone: 941-485-4858 | |
Mr. Peter Robert Dumas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Venetian Pkwy, Venice, FL 34285 Phone: 941-483-5730 Fax: 941-483-5740 |