| Dr Luke Elhanan Johnsen, DO | |
|
3251 3rd Ave N, St Petersburg, FL 33713 | |
| (727) 321-3854 | |
| (727) 327-7670 |
| Full Name | Dr Luke Elhanan Johnsen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 3251 3rd Ave N, St Petersburg, 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 |
|---|---|---|---|
| 1780781591 | NPI | - | NPPES |
| 6LR83A | Other | FL | BCBS |
| 024397500 | Medicaid | FL | |
| JK078Z | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H63003 (Maryland) | Secondary |
| 207Q00000X | Family Medicine | OS15063 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metropolitan Charities Inc | 2163668286 | 15 |
| Entity Name | Metropolitan Charities Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013277060 PECOS PAC ID: 2163668286 Enrollment ID: O20130416000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luke Elhanan Johnsen, DO 3251 3rd Ave N, St Petersburg, FL 33713-8506 Ph: (727) 321-3854 | Dr Luke Elhanan Johnsen, DO 3251 3rd Ave N, St Petersburg, FL 33713 Ph: (727) 321-3854 |
Dr. Carolina Vac Nelson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7751 9th St N Ste 10, St Petersburg, FL 33702 Phone: 727-521-2424 Fax: 727-521-2425 | |
Dr. Mary Anne Mcginn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Bay Pines Va Healthcare System, 10000 Bay Pines Blvd, St Petersburg, FL 33744 Phone: 727-398-6661 | |
Howard Diamond, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1033 7th Ave N, St Petersburg, FL 33705 Phone: 727-384-1000 Fax: 727-823-4670 | |
Adam A Brunson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12225 28th St N Ste B, St Petersburg, FL 33716 Phone: 727-561-4303 Fax: 727-561-9299 | |
Kevin B Witt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6350 Central Ave, St Petersburg, FL 33707 Phone: 727-381-1144 Fax: 727-381-6901 | |
Dr. Pedro Jose Morales, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5500 Dr Mlk Jr St N, St Petersburg, FL 33703 Phone: 727-525-5500 Fax: 727-522-2574 | |
Heather Larock Christie, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2191 9th Ave N Ste 240, St Petersburg, FL 33713 Phone: 727-220-9080 |