| Elise Johannesen, MD | |
|
711 Sl Young Blvd, Oklahoma City, OK 73104-5023 | |
| (405) 271-4113 | |
| Not Available |
| Full Name | Elise Johannesen |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 12 Years |
| Location | 711 Sl Young Blvd, Oklahoma City, Oklahoma |
| 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 |
|---|---|---|---|
| 1316383656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 30075 (Oklahoma) | Secondary |
| 207R00000X | Internal Medicine | 30075 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical City Denton | Denton, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Questcare Hospitalists Pllc | 5799785119 | 274 |
| Entity Name | Questcare Hospitalists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265441620 PECOS PAC ID: 5799785119 Enrollment ID: O20070109000581 |
| Mailing Address | Practice Location Address |
|---|---|
| Elise Johannesen, MD 711 Sl Young Blvd, Oklahoma City, OK 73104-5023 Ph: (405) 271-4113 | Elise Johannesen, MD 711 Sl Young Blvd, Oklahoma City, OK 73104-5023 Ph: (405) 271-4113 |
Evelyn Lorents, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Patrick Bronson Reeves, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112 Phone: 405-942-5442 Fax: 405-942-6448 | |
Dr. Jake Lee Evans, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Dr. Shawn Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104 Phone: 405-271-5211 | |
Metri Haddaden, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104 Phone: 405-271-6173 Fax: 410-554-2184 | |
Divya Sharma Divyadarshini, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Dr. Philip Barton Miner, Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104 Phone: 405-271-4644 Fax: 405-271-3296 |