| Dr Robert Lance Johansen, MD | |
|
2781 Ct Switzer Senior Drive, Suite 301, Biloxi, MS 39531-4536 | |
| (228) 328-2400 | |
| (228) 328-4200 |
| Full Name | Dr Robert Lance Johansen |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 32 Years |
| Location | 2781 Ct Switzer Senior Drive, Biloxi, Mississippi |
| 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 |
|---|---|---|---|
| 1861463788 | NPI | - | NPPES |
| 5707330001 | Other | MS | NSC |
| 00116678 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 14698 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Homecare- Region 1 | Laurel, MS | Home health agency |
| Merit Health Biloxi | Biloxi, MS | Hospital |
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mississippi Orthopaedic Institute | 6901827765 | 3 |
| Entity Name | Mississippi Orthopaedic Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659575728 PECOS PAC ID: 6901827765 Enrollment ID: O20051208000735 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Lance Johansen, MD 2781 Ct Swizter Sr Dr, Suite 310, Biloxi, MS 39531-4535 Ph: (228) 328-2400 | Dr Robert Lance Johansen, MD 2781 Ct Switzer Senior Drive, Suite 301, Biloxi, MS 39531-4536 Ph: (228) 328-2400 |
Dr. Jonathan Dwaine Brown, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1720a Medical Park Dr Ste 220, Biloxi, MS 39532 Phone: 228-230-2663 Fax: 228-546-3257 | |
Dr. Ramon F. Rodriguez, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1720a Medical Park Dr Ste 220, Biloxi, MS 39532 Phone: 228-230-2663 Fax: 228-392-1781 | |
Dr. Henry Theodore Leis, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532 Phone: 228-392-9355 Fax: 228-392-1781 | |
James Anderson Dollahite, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 228-376-0429 | |
Jeffrey Dean Noblin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532 Phone: 228-392-9355 Fax: 228-392-1781 | |
Judith W Smith, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2781 C T Switzer Sr Dr, Suite 402, Biloxi, MS 39531 Phone: 228-388-0949 Fax: 228-385-1595 | |
Dr. Reginald Eugene Bass, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5000 Fax: 228-523-4378 |