Gordon Mack Johnson Iv, APRN/CRNA/FNP | |
1834 Sw 1st Ave Ste 201, Ocala, FL 34471-8102 | |
(352) 732-9888 | |
Not Available |
Full Name | Gordon Mack Johnson Iv |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1834 Sw 1st Ave Ste 201, Ocala, Florida |
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 |
---|---|---|---|
1528406444 | NPI | - | NPPES |
008994000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP9231283 (Florida) | Primary |
363L00000X | Nurse Practitioner | APRN9231283 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
B And J Express Care Services Llc | 4183043128 | 6 |
Entity Name | B & J Express Care Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942812540 PECOS PAC ID: 4183043128 Enrollment ID: O20200924002633 |
Mailing Address | Practice Location Address |
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Gordon Mack Johnson Iv, APRN/CRNA/FNP Po Box 918025, Orlando, FL 32891-8025 Ph: () - | Gordon Mack Johnson Iv, APRN/CRNA/FNP 1834 Sw 1st Ave Ste 201, Ocala, FL 34471-8102 Ph: (352) 732-9888 |
Steven Joseph Fowler, CRNA,MS Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3241 Sw 34th St, Ocala, FL 34474 Phone: 352-237-5906 Fax: 352-237-8758 | |
Catherine Lenore Wohletz Hicks, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 Sw 1st Ave, Ocala, FL 34471 Phone: 352-351-7200 | |
Christopher L. Hazen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1511 Sw 1st Ave, Ocala, FL 34474 Phone: 352-867-0516 Fax: 352-867-5076 | |
Matthew Carnevale, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3309 Sw 34th Cir, Ste 101, Ocala, FL 34474 Phone: 352-237-0509 | |
Amanda K Waters, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3309 Sw 34th Cir, Suite 101, Ocala, FL 34474 Phone: 352-237-0509 Fax: 352-237-9808 | |
Claudio Andres Medero Torres, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1431 Sw 1st Ave, Ocala, FL 34471 Phone: 352-401-1000 | |
Joshua Cliff Phillips, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3330 Sw 33rd Rd, Ocala, FL 34474 Phone: 352-873-9311 Fax: 352-873-9652 |