| Thomas R Johnson, MD | |
|
2900 S Highway 77 Ste 100, Lynn Haven, FL 32444-5612 | |
| (850) 804-7500 | |
| (850) 804-7501 |
| Full Name | Thomas R Johnson |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 38 Years |
| Location | 2900 S Highway 77 Ste 100, Lynn Haven, 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 |
|---|---|---|---|
| 1518938927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | ME102430 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Fort walton beach, FL | Home health agency |
| Sacred Heart Hospital | Pensacola, FL | Hospital |
| Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Ascension Sacred Heart Gulf | Port saint joe, FL | Hospital |
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sacred Heart Health System Inc | 3779491386 | 365 |
| Entity Name | Sacred Heart Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R Johnson, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Thomas R Johnson, MD 2900 S Highway 77 Ste 100, Lynn Haven, FL 32444-5612 Ph: (850) 804-7500 |
Christopher J Rittman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 621 Florida Ave, Lynn Haven, FL 32444 Phone: 850-265-3606 Fax: 850-271-0400 | |
Dr. Eugene Roland Jalbert Ii, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3890 Jenks Avene, Lynn Haven, FL 32444 Phone: 850-215-6400 Fax: 850-215-4440 | |
Dr. Jagjit Singh Tandon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Highway 77, Lynn Haven, FL 32444 Phone: 850-481-1687 Fax: 850-640-0761 | |
Dr. Aymen Ahmed Kenawy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3890 Jenks Ave, Lynn Haven, FL 32444 Phone: 850-215-6400 Fax: 850-215-4440 | |
Mrs. Kristian R Oenbrink, APRN Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Ohio Ave, Lynn Haven, FL 32444 Phone: 850-371-9932 Fax: 850-271-4113 | |
Malvinder S Ajit, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3209 Pleasant Hill Rd, Lynn Haven, FL 32444 Phone: 850-227-8450 Fax: 850-271-9659 |