Elise Johannesen, MD | |
711 Sl Young Blvd, Oklahoma City, OK 73104-5023 | |
(405) 271-4113 | |
Not Available |
Full Name | Elise Johannesen |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 11 Years |
Location | 711 Sl Young Blvd, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316383656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 30075 (Oklahoma) | Secondary |
207R00000X | Internal Medicine | 30075 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical City Las Colinas | Irving, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Questcare Hospitalists Pllc | 5799785119 | 310 |
Entity Name | Questcare Hospitalists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265441620 PECOS PAC ID: 5799785119 Enrollment ID: O20070109000581 |
Entity Name | Nuch Of Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760722334 PECOS PAC ID: 4880833698 Enrollment ID: O20130626000489 |
Mailing Address | Practice Location Address |
---|---|
Elise Johannesen, MD 711 Sl Young Blvd, Oklahoma City, OK 73104-5023 Ph: (405) 271-4113 | Elise Johannesen, MD 711 Sl Young Blvd, Oklahoma City, OK 73104-5023 Ph: (405) 271-4113 |
Evelyn Lorents, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Patrick Bronson Reeves, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112 Phone: 405-942-5442 Fax: 405-942-6448 | |
Dr. Jake Lee Evans, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Dr. Shawn Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104 Phone: 405-271-5211 | |
Metri Haddaden, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104 Phone: 405-271-6173 Fax: 410-554-2184 | |
Divya Sharma Divyadarshini, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Dr. Philip Barton Miner, Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104 Phone: 405-271-4644 Fax: 405-271-3296 |