| Matthew Shannon Johnson, DO | |
|
2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 | |
| (941) 624-2704 | |
| (941) 627-6066 |
| Full Name | Matthew Shannon Johnson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 2450 Tamiami Trl Ste A, Port Charlotte, 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 |
|---|---|---|---|
| 1659711455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 3011 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 0116026356 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | OS15650 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake City Medical Center | Lake city, FL | Hospital |
| South Bay Hospital | Sun city center, FL | Hospital |
| Northeast Alabama Regional Medical Center | Anniston, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alabama Physicians Group Llc | 2668835604 | 14 |
| Entity Name | Alteon Health Alabama, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477708857 PECOS PAC ID: 5698830552 Enrollment ID: O20090210000557 |
| Entity Name | App Of Alabama Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174 |
| Entity Name | Alabama Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750062527 PECOS PAC ID: 2668835604 Enrollment ID: O20230824000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Shannon Johnson, DO 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Matthew Shannon Johnson, DO 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 Ph: (941) 624-2704 |
Dr. Jean Murphy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19531 Cochran Blvd, Port Charlotte, FL 33948 Phone: 941-255-3535 Fax: 941-766-7999 | |
Ewa A Bialikiewicz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-624-2704 Fax: 941-627-6066 | |
Louise A Cohen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19531 Cochran Blvd, Port Charlotte, FL 33948 Phone: 941-255-3535 Fax: 941-766-7999 | |
Arturo Rodriguez-martin, MD PL Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22099 Elmira Blvd, Port Charlotte, FL 33952 Phone: 941-613-1351 Fax: 941-613-1591 | |
Dr. Paul B. Graniero, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21297 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701 | |
Dr. Gladys Perez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 Aaron St, Port Charlotte, FL 33952 Phone: 941-979-5700 Fax: 941-613-1387 | |
Dr. Michael Dominic Mozzetti Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3161 Harbor Blvd, Suite A, Port Charlotte, FL 33952 Phone: 941-629-1218 Fax: 941-625-9465 |