Duane P Johnson, DO | |
12404 Lima Crossing Dr, Fort Wayne, IN 46818-0202 | |
(260) 478-4201 | |
(260) 458-3248 |
Full Name | Duane P Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 18 Years |
Location | 12404 Lima Crossing Dr, Fort Wayne, Indiana |
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 |
---|---|---|---|
1750392676 | NPI | - | NPPES |
111360400 | Medicaid | FL | |
200942660 | Medicaid | IN | |
2968963 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34.009629 (Ohio) | Secondary |
207Q00000X | Family Medicine | OS16751 (Florida) | Secondary |
207Q00000X | Family Medicine | 02003311A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Heartland Home Health Care & Hospice | Fremont, OH | Hospice |
Community Memorial Hospital | Hicksville, OH | Hospital |
Dupont Hospital Llc | Fort wayne, IN | Hospital |
Park View Nursing Center | Edgerton, OH | Nursing home |
Vancrest Of Hicksville | Hicksville, OH | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lutheran Medical Group Llc | 4981751617 | 264 |
Community Memorial Hospital | 0547258907 | 15 |
Shc Medical Partners Of Ohio Llc | 7618279662 | 2 |
Entity Name | Lutheran Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
Mailing Address | Practice Location Address |
---|---|
Duane P Johnson, DO 12404 Lima Crossing Dr, Fort Wayne, IN 46818-0202 Ph: (260) 478-4201 | Duane P Johnson, DO 12404 Lima Crossing Dr, Fort Wayne, IN 46818-0202 Ph: (260) 478-4201 |
Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475 | |
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601 | |
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941 | |
Gregory L Chupp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 | |
Christina Mcguirk, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 | |
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065 | |
Brian A. Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825 Phone: 260-458-3760 Fax: 260-458-3761 |