Dr Luke Elhanan Johnsen, DO | |
3251 3rd Ave N, St Petersburg, FL 33713 | |
(727) 321-3854 | |
(727) 327-7670 |
Full Name | Dr Luke Elhanan Johnsen |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3251 3rd Ave N, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780781591 | NPI | - | NPPES |
6LR83A | Other | FL | BCBS |
024397500 | Medicaid | FL | |
JK078Z | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H63003 (Maryland) | Secondary |
207Q00000X | Family Medicine | OS15063 (Florida) | Primary |
Entity Name | Johns Hopkins University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
Mailing Address | Practice Location Address |
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Dr Luke Elhanan Johnsen, DO 3251 3rd Ave N, St Petersburg, FL 33713-8506 Ph: (727) 321-3854 | Dr Luke Elhanan Johnsen, DO 3251 3rd Ave N, St Petersburg, FL 33713 Ph: (727) 321-3854 |
Dr. Carolina Vac Nelson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7751 9th St N Ste 10, St Petersburg, FL 33702 Phone: 727-521-2424 Fax: 727-521-2425 | |
Dr. Mary Anne Mcginn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Bay Pines Va Healthcare System, 10000 Bay Pines Blvd, St Petersburg, FL 33744 Phone: 727-398-6661 | |
Howard Diamond, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1033 7th Ave N, St Petersburg, FL 33705 Phone: 727-384-1000 Fax: 727-823-4670 | |
Adam A Brunson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12225 28th St N, Suite B, St Petersburg, FL 33716 Phone: 727-561-4303 Fax: 727-561-9299 | |
Kevin B Witt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6350 Central Ave, St Petersburg, FL 33707 Phone: 727-381-1144 Fax: 727-381-6901 | |
Dr. Pedro Jose Morales, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5500 Dr Mlk Jr St N, St Petersburg, FL 33703 Phone: 727-525-5500 Fax: 727-522-2574 | |
Heather Larock Christie, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2191 9th Ave N Ste 240, St Petersburg, FL 33713 Phone: 727-220-9080 |