| Dr Jesse Wayne Johnson Jr, MD | |
|
4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3315 | |
| (407) 333-2273 | |
| (407) 333-3939 |
| Full Name | Dr Jesse Wayne Johnson Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 42 Years |
| Location | 4106 W Lake Mary Blvd, Lake Mary, 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 |
|---|---|---|---|
| 1245344571 | NPI | - | NPPES |
| AM199 | Other | FL | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER |
| PTAN DN9084 | Other | FL | MEDICARE RR |
| 4308871 | Other | FL | CIGNA |
| 0004104041 | Other | FL | AETNA |
| 04163 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 49038 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mederi Caretenders | Altamonte springs, FL | Home health agency |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Orlando Health | Orlando, FL | Hospital |
| Adventhealth Deland | Deland, FL | Hospital |
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ability Health Services, Inc | 4082523329 | 896 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 904 |
| Heathrow Internal Medicine Llc | 5294801536 | 13 |
| Entity Name | Heathrow Internal Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033387865 PECOS PAC ID: 5294801536 Enrollment ID: O20080910000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jesse Wayne Johnson Jr, MD 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3315 Ph: (407) 333-2273 | Dr Jesse Wayne Johnson Jr, MD 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3315 Ph: (407) 333-2273 |
Ashraf Jmeian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Williston Park Pt Ste 1000, Lake Mary, FL 32746 Phone: 407-833-8028 Fax: 407-833-8033 | |
Dr. Kalyani Gaddipati, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 917 Rinehart Rd, Suite 2051, Lake Mary, FL 32746 Phone: 407-936-2444 | |
Hiral P Patel, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346 | |
Win Ko Ko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 Rinehart Rd, Lake Mary, FL 32746 Phone: 321-842-2994 Fax: 321-842-1852 | |
Katherine Lopez Gordillo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346 | |
Nathaniel Jack Leavitt, DO Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346 | |
Neenu Antony, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346 |