| Kevin Johansen, MD | |
|
10121 Pine Ave, Truckee, CA 96161-4856 | |
| (775) 284-9155 | |
| Not Available |
| Full Name | Kevin Johansen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 10121 Pine Ave, Truckee, California |
| 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 |
|---|---|---|---|
| 1487235305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200188 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tahoe Forest Hospital | Truckee, CA | Hospital |
| Saint Mary's Regional Medical Center | Reno, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tahoe Forest Hospital District | 0446161335 | 121 |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Johansen, MD 10121 Pine Ave, Truckee, CA 96161-4835 Ph: () - | Kevin Johansen, MD 10121 Pine Ave, Truckee, CA 96161-4856 Ph: (775) 284-9155 |
Dr. Michelle Soraya Pourtabib, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12030 Donner Pass Rd Ste 1-720, Truckee, CA 96161 Phone: 916-258-5827 | |
Aaron Ulland, Family Medicine Medicare: Medicare Enrolled Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 | |
Angela Christina Mendoza, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 | |
Paul K Krause, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10115 W River St, Truckee, CA 96161 Phone: 530-581-8864 | |
Dr. Jeanne Murphy Plumb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10115 W River St, Truckee, CA 96161 Phone: 530-581-8864 Fax: 530-583-1826 | |
Nicole Mccrory Constantz Jernick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-582-6432 Fax: 530-582-6430 | |
Catherine Colpitts, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 |