Marc Thomas Johannsen, DO | |
620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | |
(757) 953-5000 | |
Not Available |
Full Name | Marc Thomas Johannsen |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 16 Years |
Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
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 |
---|---|---|---|
1538329644 | NPI | - | NPPES |
CEFLH | Other | FL | BCBS |
PB211 | Other | FL | MEDICARE PTAN OHRI |
113776200 | Medicaid | FL | |
PS103 | Other | FL | MEDICARE PTAN OHMG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | OS15809 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Orlando Health | Orlando, FL | Hospital |
Orlando Health South Lake Hospital | Clermont, FL | Hospital |
Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
St Cloud Regional Medical Center | Saint cloud, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ohri Llc | 4981912169 | 90 |
Orlando Health Medical Group Inc | 9537059084 | 1478 |
Entity Name | Orlando Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Entity Name | Ohri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386034346 PECOS PAC ID: 4981912169 Enrollment ID: O20151008000809 |
Mailing Address | Practice Location Address |
---|---|
Marc Thomas Johannsen, DO 1520 Vineland Cir, Unit B, Fleming Island, FL 32003-3298 Ph: (757) 390-1319 | Marc Thomas Johannsen, DO 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-5000 |
Michael Edwin Fenton, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Alexander F Kelley, DO Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3029 | |
Dr. Glenn Andrew Rauscher, DO Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-0669 | |
Eric Palmer Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-7550 | |
Dr. Christopher Dac Nguyen, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1143 | |
Dr. Andre Chartier, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1128 | |
Cameron Richardson Kendall, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-0669 |