| Russell F Johnson, MD | |
|
1215 Lawn Ave Ste 120, Elkhart, IN 46514-2450 | |
| (574) 523-2733 | |
| (574) 523-3251 |
| Full Name | Russell F Johnson |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 39 Years |
| Location | 1215 Lawn Ave Ste 120, Elkhart, Indiana |
| 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 |
|---|---|---|---|
| 1003801283 | NPI | - | NPPES |
| 200001710 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 01039533 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Medical Group Inc | 1254243306 | 479 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell F Johnson, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Russell F Johnson, MD 1215 Lawn Ave Ste 120, Elkhart, IN 46514-2450 Ph: (574) 523-2733 |
Romney William Ashton, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 55778 Timber Ln, Elkhart, IN 46514 Phone: 574-674-5426 | |
Aneesa S Majid, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Beacon Medical Group Gi And Interventional Radiology, 500 Arcade Ave Ste 300, Elkhart, IN 46514 Phone: 210-617-0555 | |
Lauren C Das, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 Lawn Ave Ste 120, Elkhart, IN 46514 Phone: 574-523-2733 |