Dr Robert Lance Johansen, MD | |
15190 Community Rd, Suite 120, Gulfport, MS 39503-3484 | |
(228) 328-2400 | |
(228) 328-4200 |
Full Name | Dr Robert Lance Johansen |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 30 Years |
Location | 15190 Community Rd, Gulfport, Mississippi |
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 |
---|---|---|---|
1861463788 | NPI | - | NPPES |
5707330001 | Other | MS | NSC |
00116678 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 14698 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kare In Home Health Services | Gulfport, MS | Home health agency |
Merit Health Biloxi | Biloxi, MS | Hospital |
Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mississippi Orthopaedic Institute | 6901827765 | 2 |
Exceed Physical Therapy Llc | 8123378338 | 56 |
Entity Name | Mississippi Orthopaedic Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659575728 PECOS PAC ID: 6901827765 Enrollment ID: O20051208000735 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Lance Johansen, MD 15190 Community Rd, Suite 120, Gulfport, MS 39503-3484 Ph: (228) 328-2400 | Dr Robert Lance Johansen, MD 15190 Community Rd, Suite 120, Gulfport, MS 39503-3484 Ph: (228) 328-2400 |
Philip D Myers, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd Ste 120, Gulfport, MS 39503 Phone: 228-205-6825 Fax: 228-831-8782 | |
Dr. Timothy D Jackson, MD, SA-C Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-304-9436 | |
Dr. William Lewis Seidensticker, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Bayou Pl, Gulfport, MS 39503 Phone: 222-889-6708 | |
Dr. Eric Jude Letonoff, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd Ste 120, Gulfport, MS 39503 Phone: 228-205-6825 Fax: 228-831-8782 | |
Eric J Graham, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15476 Dedeaux Rd, Gulfport, MS 39503 Phone: 228-230-2663 Fax: 228-679-3038 | |
Dr. Inez M Kelleher, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave, Ste 450, Gulfport, MS 39503 Phone: 228-867-5012 Fax: 228-867-5262 | |
Joseph Tyler Cox, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15476 Dedeaux Rd, Gulfport, MS 39503 Phone: 228-230-2663 Fax: 228-546-3257 |