| Arnise Lanell Johnson, PHD | |
|
725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | |
| (863) 494-1242 | |
| Not Available |
| Full Name | Arnise Lanell Johnson |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 725 N 12th Ave Bldg B, Arcadia, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033816038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6572 (Florida) | Secondary |
| 103T00000X | Psychologist | PY6572 (Florida) | Primary |
| Entity Name | Mcr Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
| Mailing Address | Practice Location Address |
|---|---|
| Arnise Lanell Johnson, PHD 101 Riverfront Blvd Ste 710, Bradenton, FL 34205-8812 Ph: (941) 776-4000 | Arnise Lanell Johnson, PHD 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 Ph: (863) 494-1242 |
Dr. Michael J. Bachop, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 941-776-4000 | |
Dr. Dallas Carey, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Dr. Lornitta F Williams-sylvester, PSY.D., R.N Psychologist Medicare: Not Enrolled in Medicare Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 963-491-0466 | |
Amanda Waggoner, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Ileana Bascuas, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-491-0466 | |
Dr. Nicole M Whitt, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 |