Russell F Johnson, MD | |
1215 Lawn Ave Ste 120, Elkhart, IN 46514-2450 | |
(574) 523-2733 | |
(574) 523-3251 |
Full Name | Russell F Johnson |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 38 Years |
Location | 1215 Lawn Ave Ste 120, Elkhart, 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 |
---|---|---|---|
1003801283 | NPI | - | NPPES |
200001710 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 01039533 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elkhart General Hospital | Elkhart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beacon Medical Group Inc | 1254243306 | 444 |
Entity Name | Beacon Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Mailing Address | Practice Location Address |
---|---|
Russell F Johnson, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Russell F Johnson, MD 1215 Lawn Ave Ste 120, Elkhart, IN 46514-2450 Ph: (574) 523-2733 |
Romney William Ashton, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 55778 Timber Ln, Elkhart, IN 46514 Phone: 574-674-5426 | |
Aneesa S Majid, MD Radiology Medicare: Medicare Enrolled Practice Location: Beacon Medical Group Gi And Interventional Radiology, 500 Arcade Ave Ste 300, Elkhart, IN 46514 Phone: 210-617-0555 | |
Lauren C Das, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 Lawn Ave Ste 120, Elkhart, IN 46514 Phone: 574-523-2733 |