| Dallin Jay Johansen, DO | |
|
2301 Erwin Rd, Durham, NC 27705-4699 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | Dallin Jay Johansen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 8 Years |
| Location | 2301 Erwin Rd, Durham, North Carolina |
| 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 |
|---|---|---|---|
| 1831686740 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Providence Mount Carmel Hospital | Colville, WA | Hospital |
| Samaritan Hospital | Moses lake, WA | Hospital |
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| St. Patrick Hospital | Missoula, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integra Imaging Ps | 1355593062 | 127 |
| Columbia County Hospital District | 5597653758 | 57 |
| The Polyclinic Pllc | 2163328196 | 375 |
| Inland Imaging Llc | 6608763016 | 129 |
| Inland Imaging Associates Ps | 7810327210 | 127 |
| Okanogan Douglas County Hospital Dist 1 | 7810882792 | 34 |
| Inland Imaging Llc | 6608763016 | 129 |
| Integra Imaging Ps | 1355593062 | 127 |
| Oregon Healthcare Resources Llc | 4486835477 | 146 |
| Oregon Healthcare Resources Llc | 4486835477 | 146 |
| Inland Imaging Associates Ps | 7810327210 | 127 |
| Entity Name | The Polyclinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
| Entity Name | Optum Care Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Entity Name | Grant County Hospital District No. 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659445468 PECOS PAC ID: 8921919077 Enrollment ID: O20040116000955 |
| Entity Name | Okanogan Douglas County Hospital Dist 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205942257 PECOS PAC ID: 7810882792 Enrollment ID: O20040219000122 |
| Entity Name | Inland Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851352348 PECOS PAC ID: 6608763016 Enrollment ID: O20040301001171 |
| Entity Name | Columbia County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134128911 PECOS PAC ID: 5597653758 Enrollment ID: O20040309000515 |
| Entity Name | Integra Imaging Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205189461 PECOS PAC ID: 1355593062 Enrollment ID: O20121204000044 |
| Entity Name | Inland Imaging Associates Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982236469 PECOS PAC ID: 7810327210 Enrollment ID: O20200427002479 |
| Mailing Address | Practice Location Address |
|---|---|
| Dallin Jay Johansen, DO Po Box 63362, Charlotte, NC 28263-3362 Ph: () - | Dallin Jay Johansen, DO 2301 Erwin Rd, Durham, NC 27705-4699 Ph: (919) 684-8111 |
Mary Margaret Woodruff, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-6111 | |
Dr. Roger L Cothran Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111 | |
Zachary Angel, Radiology Medicare: May Accept Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Jacob Alexander Latreille, Radiology Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Mark Shuo Chen, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 20 Duke Medicine Cir, Durham, NC 27710 Phone: 919-660-2100 | |
Reginald R Pareja, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3022 Croasdaile Dr Ste 101, Durham, NC 27705 Phone: 877-780-5559 | |
Mamata Myneni, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Erwin Rd, Banner Good Samaritan Medical Center, Durham, NC 27705 Phone: 919-684-8111 |