Dr Ryan Wesley Johnson, DO | |
2995 Crystal Beach Rd, Winter Haven, FL 33880-4914 | |
(863) 585-4591 | |
Not Available |
Full Name | Dr Ryan Wesley Johnson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 2 Years |
Location | 2995 Crystal Beach Rd, Winter Haven, 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 |
---|---|---|---|
1699091066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | DO.000283 (Louisiana) | Secondary |
207P00000X | Emergency Medicine | OS 12318 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Three Rivers Hospital | Waverly, TN | Hospital |
Metro Nashville General Hospital | Nashville, TN | Hospital |
Logan Memorial Hospital | Russellville, KY | Hospital |
Macon Community Hospital | Lafayette, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Emergency Physicians Llc | 2466364997 | 516 |
Concord Medical Group Of Kentucky Pllc | 9133483894 | 30 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Entity Name | App Of Tennessee Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20140506000159 |
Entity Name | Concord Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20151006000818 |
Entity Name | South Central Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20190830001905 |
Entity Name | Concord Medical Group Of Kentucky Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191118000999 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan Wesley Johnson, DO 2995 Crystal Beach Rd, Winter Haven, FL 33880-4914 Ph: (863) 585-4591 | Dr Ryan Wesley Johnson, DO 2995 Crystal Beach Rd, Winter Haven, FL 33880-4914 Ph: (863) 585-4591 |
Nathaniel Allen Jr., PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 1st St S, Winter Haven, FL 33880 Phone: 863-299-8485 Fax: 863-293-8450 | |
Dr. Frederick Christopher Ward, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven Hospital, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Dr. Carlton Carmichael Hamilton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven Hospital, Winter Haven, FL 33881 Phone: 863-293-1121 Fax: 863-292-4103 | |
Dr. Jerry Winfield Gibbs, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven Hospital, Winter Haven, FL 33881 Phone: 863-292-4202 Fax: 863-292-4103 | |
Mr. Fouad Sam Moursi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 1st St N, Winter Haven, FL 33881 Phone: 866-234-8534 | |
Housam Moursi, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Dr. H. Gerlach James Iii, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Winter Haven Hospital, 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 |