Michael Shane Johnson, MD | |
13600 Prairie View Ln, Oklahoma City, OK 73142-5917 | |
(888) 330-7831 | |
Not Available |
Full Name | Michael Shane Johnson |
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Gender | Male |
Speciality | General Practice |
Location | 13600 Prairie View Ln, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1770877151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 30380 (Oklahoma) | Primary |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210505002298 |
Mailing Address | Practice Location Address |
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Michael Shane Johnson, MD 13600 Prairie View Ln, Oklahoma City, OK 73142-5917 Ph: (888) 330-7831 | Michael Shane Johnson, MD 13600 Prairie View Ln, Oklahoma City, OK 73142-5917 Ph: (888) 330-7831 |
Dr. Jessica Marie Reyes Giusti, MD General Practice Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 | |
Dr. John Joseph Chiaffitelli, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 1601 Sw 89th St, Oklahoma City, OK 73159 Phone: 405-681-2273 Fax: 405-681-2274 | |
Angela Marie Mcguire, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 5721 Nw 132nd St, Oklahoma City, OK 73142 Phone: 405-557-1200 Fax: 405-557-1977 | |
Dr. William Douglas Mills, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6500 S Macarthur Blvd, Faa-mmac Aam-300, Oklahoma City, OK 73169 Phone: 405-343-9432 Fax: 405-954-0260 | |
Marvis Mimba, General Practice Medicare: Not Enrolled in Medicare Practice Location: 4101 Perimeter Center Dr, Oklahoma City, OK 73112 Phone: 563-766-7014 | |
Dr. David B Mallory, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1240 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-631-1527 Fax: 405-631-9930 | |
Dr. Darlene G. Johnson, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 9220 S Pennsylvania Ave, Suite B, Oklahoma City, OK 73159 Phone: 405-692-1331 Fax: 405-692-0082 |