Timothy Shane Johnson, MD | |
30 Hope Dr Ste 1860, Hershey, PA 17033-2036 | |
(717) 531-8952 | |
(717) 531-0098 |
Full Name | Timothy Shane Johnson |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 26 Years |
Location | 30 Hope Dr Ste 1860, Hershey, Pennsylvania |
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 |
---|---|---|---|
1144245911 | NPI | - | NPPES |
1016969880001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2082S0105X | Plastic Surgery - Surgery Of The Hand | MD424449 (Pennsylvania) | Secondary |
208200000X | Plastic Surgery | MD424449 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Milton S Hershey Medical Center | Hershey, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Milton S Hershey Medical Center Physicians Group | 3870405483 | 1398 |
Entity Name | The Milton S Hershey Medical Center Physicians Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
Mailing Address | Practice Location Address |
---|---|
Timothy Shane Johnson, MD Po Box 858, Mc A410, Hershey, PA 17033-0858 Ph: (800) 243-1455 | Timothy Shane Johnson, MD 30 Hope Dr Ste 1860, Hershey, PA 17033-2036 Ph: (717) 531-8952 |
Dr. John Michael Roberts, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8952 Fax: 717-531-4339 | |
Dr. John Michael Ingraham, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Mch071, Hershey, PA 17033 Phone: 717-531-8372 | |
Thomas D Samson, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Hope Dr Ste 1860, Hershey, PA 17033 Phone: 717-531-8952 Fax: 717-531-0098 | |
Dr. Jeffrey Michael Fornadley, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 500 University Dr, Dept Of Surgery Mc H159, Hershey, PA 17033 Phone: 717-531-8557 Fax: 717-531-5393 | |
Dino Ravnic, D.O. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, H071, Hershey, PA 17033 Phone: 717-531-8372 Fax: 717-531-4339 | |
Randy M Hauck, M.D Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Hope Dr Ste 2400, Hershey, PA 17033 Phone: 717-531-5638 Fax: 717-531-0098 |