Lyndon G Johansen, DPM in Portland, OR - Medicare Podiatry Provider

Lyndon G Johansen, DPM is a medicare enrolled "Podiatrist" provider in Portland, Oregon. He went to California School Of Podiatric Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Podiatry. His current practice location is 12658 Se Stark St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 256-4018.

Lyndon G Johansen is licensed to practice in Oregon (license number DP00230) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306820402.

Contact Information

	Lyndon G Johansen, DPM
	12658 Se Stark St, Portland, OR 97233-1058
	(503) 256-4018
	(503) 256-6298

Map and Direction

Healthcare Provider's Profile

Full Name	Lyndon G Johansen
Gender	Male
Speciality	Podiatry
Experience	34 Years
Location	12658 Se Stark St, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lyndon G Johansen attended and graduated from California School Of Podiatric Medicine in 1990

NPI Data:

NPI Number: 1306820402
Provider Enumeration Date: 12/01/2005
Last Update Date: 01/02/2013

Medicare PECOS Information:

PECOS PAC ID: 4688719420
Enrollment ID: I20100304000840

Medical Identifiers

Medical identifiers for Lyndon G Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306820402	NPI	-	NPPES
045653	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	DP00230 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Portland	Portland, OR	Hospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lyndon G Johansen allows following entities to bill medicare on his behalf.

Provider Name	Lyndon G Johansen Dpm Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093993453 PECOS PAC ID: 5597800334 Enrollment ID: O20100304000841

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lyndon G Johansen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lyndon G Johansen, DPM 12658 Se Stark St, Portland, OR 97233-1058 Ph: (503) 256-4018	Lyndon G Johansen, DPM 12658 Se Stark St, Portland, OR 97233-1058 Ph: (503) 256-4018

Reviews and Comments

Podiatrist in Portland, OR

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Portland Foot And Ankle Institute, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12672 Nw Barnes Rd Ste 100, Portland, OR 97229 Phone: 503-336-0169 Fax: 503-352-4583
Dr. Steven Gary Tillett, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6274 Sw Capitol Hwy, Portland, OR 97239 Phone: 503-246-2212

Lyndon G Johansen, DPM - Medicare Podiatrist in Portland, OR