| Dr Stephen Johns, MD | |
|
1340 Broad Ave, Ste 450, Gulfport, MS 39501-2404 | |
| (228) 865-1453 | |
| (228) 865-1457 |
| Full Name | Dr Stephen Johns |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1340 Broad Ave, Gulfport, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881709053 | NPI | - | NPPES |
| 00114017 | Medicaid | MS | |
| 080069404 | Other | MS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11374 (Mississippi) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 11374 (Mississippi) | Primary |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Entity Name | Care Doc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225505993 PECOS PAC ID: 7719223957 Enrollment ID: O20190109002502 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Johns, MD Po Box 1810, Gulfport, MS 39502-1810 Ph: (228) 868-6486 | Dr Stephen Johns, MD 1340 Broad Ave, Ste 450, Gulfport, MS 39501-2404 Ph: (228) 865-1453 |
Macey Darlene Forehand, D.P.T. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 11010 David St, Gulfport, MS 39503 Phone: 228-832-8327 Fax: 228-832-8328 | |
Dr. Taylor Tubertini Mattina, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12449 Us 49, Suite C, Gulfport, MS 39503 Phone: 228-872-6836 | |
Mrs. Brooke Wilke, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11010 David St # A, Gulfport, MS 39503 Phone: 228-832-8327 | |
Dr. Ramakrishna Rao Settipalli, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1340 Broad Ave, Suite 450, Gulfport, MS 39501 Phone: 228-867-5006 Fax: 228-867-5079 | |
Dr. Horrell H Townsend Iii, D.O. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 11010 David St, Suite B, Gulfport, MS 39503 Phone: 228-832-7799 | |
Mrs. Elizabeth Z Bozlee, P.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 14478 Aerie Rd, Gulfport, MS 39503 Phone: 228-617-4034 Fax: 228-831-8177 | |
Mr. Shawn X Wu, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 14986 Angela Dr, Gulfport, MS 39503 Phone: 228-357-5464 Fax: 877-563-0603 |