| Dr Ryan Wesley Johnson, DO | |
|
2995 Crystal Beach Rd, Winter Haven, FL 33880-4914 | |
| (863) 585-4591 | |
| Not Available |
| Full Name | Dr Ryan Wesley Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 4 Years |
| Location | 2995 Crystal Beach Rd, Winter Haven, 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 |
|---|---|---|---|
| 1699091066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO.000283 (Louisiana) | Secondary |
| 207P00000X | Emergency Medicine | OS 12318 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Memorial Hospital | Russellville, KY | Hospital |
| Metro Nashville General Hospital | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Emergency Physicians Llc | 2466364997 | 627 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| Entity Name | Metropolitan Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710206156 PECOS PAC ID: 3779775432 Enrollment ID: O20101013000530 |
| Entity Name | App Of Tennessee Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20140506000159 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20151006000818 |
| Entity Name | South Central Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20190830001905 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191118000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Wesley Johnson, DO 2995 Crystal Beach Rd, Winter Haven, FL 33880-4914 Ph: (863) 585-4591 | Dr Ryan Wesley Johnson, DO 2995 Crystal Beach Rd, Winter Haven, FL 33880-4914 Ph: (863) 585-4591 |
Nathaniel Allen Jr., PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 1st St S, Winter Haven, FL 33880 Phone: 863-299-8485 Fax: 863-293-8450 | |
Dr. Frederick Christopher Ward, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven Hospital, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Dr. Carlton Carmichael Hamilton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven Hospital, Winter Haven, FL 33881 Phone: 863-293-1121 Fax: 863-292-4103 | |
Dr. Jerry Winfield Gibbs, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven Hospital, Winter Haven, FL 33881 Phone: 863-292-4202 Fax: 863-292-4103 | |
Mr. Fouad Sam Moursi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 1st St N, Winter Haven, FL 33881 Phone: 866-234-8534 | |
Housam Moursi, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Dr. H. Gerlach James Iii, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Winter Haven Hospital, 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 |