| 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 | 13 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 |
|---|---|---|
| Hca Florida Lake City Hospital | Lake city, FL | Hospital |
| Hca Florida South Shore Hospital | Sun city center, FL | Hospital |
| Northeast Alabama Regional Medical Center | Anniston, AL | Hospital |
| Princeton Baptist Medical Center | Birmingham, AL | Hospital |
| Citizens Baptist Medical Center | Talladega, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alabama Physicians Group Llc | 2668835604 | 16 |
| Alteon Health Alabama, Llc | 5698830552 | 38 |
| 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 |
Samantha Jean, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 Harbor Blvd, Suite 308, Port Charlotte, FL 33952 Phone: 419-629-7777 Fax: 941-629-8170 |
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 |
Lisa A Mattingly, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1050 Loveland Blvd, Port Charlotte, FL 33980 Phone: 941-764-0301 |
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 |
Dr. Joshua Bertollo, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4130 Tamiami Trl Unit 102, Port Charlotte, FL 33952 Phone: 941-787-7100 |
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 |