| Dr Vanessa Emily Johnson, MD | |
|
389 Commerce Pkwy Ste 160, Rockledge, FL 32955-4202 | |
| (321) 200-0346 | |
| Not Available |
| Full Name | Dr Vanessa Emily Johnson |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 13 Years |
| Location | 389 Commerce Pkwy Ste 160, Rockledge, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972948875 | NPI | - | NPPES |
| JC290Z | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | ME132429 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shadetree Dermatology Llc | 8628511227 | 5 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Shadetree Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366297376 PECOS PAC ID: 8628511227 Enrollment ID: O20240624005062 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vanessa Emily Johnson, MD 105 S Banana River Blvd Fl 2, Cocoa Beach, FL 32931-5041 Ph: (321) 200-0346 | Dr Vanessa Emily Johnson, MD 389 Commerce Pkwy Ste 160, Rockledge, FL 32955-4202 Ph: (321) 200-0346 |
Mr. Mario Jose Sequeira, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1286 S Florida Ave, Rockledge, FL 32955 Phone: 321-636-7780 Fax: 321-636-1152 | |
Hailey Grubbs, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1286 Florida Ave S Ste 1, Rockledge, FL 32955 Phone: 321-301-4747 Fax: 321-636-1152 | |
Dr. Andrew Glen Miner, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1286 Florida Ave S, Rockledge, FL 32955 Phone: 321-636-7780 | |
Mr. Richard Christopher Kirkpatrick, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1286 Florida Ave S, Rockledge, FL 32955 Phone: 321-636-7780 Fax: 321-636-1152 | |
Cynthia H Halcin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 830 Executive Ln, Suite 110, Rockledge, FL 32955 Phone: 321-394-8000 Fax: 321-394-8002 |