| Lewis Jeremy Johnson, DO | |
|
210 N Tillotson Ave, Muncie, IN 47304-3988 | |
| (765) 747-4332 | |
| (765) 448-7689 |
| Full Name | Lewis Jeremy Johnson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 18 Years |
| Location | 210 N Tillotson Ave, Muncie, 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 |
|---|---|---|---|
| 1295979474 | NPI | - | NPPES |
| 300066454 | Medicaid | IN | |
| 1102384432 | Other | IN | ANTHEM PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 5101017835 (Michigan) | Secondary |
| 208800000X | Urology | 3622 (Kentucky) | Secondary |
| 208800000X | Urology | 02006859A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
| Indiana University Health Jay, Inc. | Portland, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Ball Memorial Physicians Inc | 9537072640 | 314 |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Jeremy Johnson, DO 210 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 747-4332 | Lewis Jeremy Johnson, DO 210 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 747-4332 |
Michael David Felice, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-4332 Fax: 765-448-7689 | |
Chandra Kathryn Flack, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2901 W Jackson St, Muncie, IN 47304 Phone: 765-747-4332 Fax: 765-448-7689 | |
Dr. Albert Nicholas Bruno Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7444 Fax: 765-289-8628 | |
Dr. Jeffrey Clare Ulrich, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7127 | |
David W Hall Ii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7444 Fax: 765-289-8628 | |
Dr. Onisuru T Okotie, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7444 | |
Dr. Robert Simpson Williams, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave, Suite 504, Muncie, IN 47303 Phone: 765-289-7127 Fax: 765-289-8628 |