Shorty Johansson, MD in Portsmouth, VA - Medicare Obstetrics & Gynecology

Shorty Johansson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Portsmouth, Virginia. Her current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 953-0669.

Shorty Johansson is licensed to practice in Virginia (license number 1235552621) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235552621.

Contact Information

	Shorty Johansson, MD
	620 John Paul Jones Cir, Portsmouth, VA 23708-2111
	(757) 953-0669
	Not Available

Physician's Profile

Full Name	Shorty Johansson
Gender	Female
Speciality	Obstetrics & Gynecology
Location	620 John Paul Jones Cir, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235552621
Provider Enumeration Date: 01/21/2014
Last Update Date: 12/16/2022

Medicare PECOS Information:

PECOS PAC ID: 5395008767
Enrollment ID: I20180417002142

Medical Identifiers

Medical identifiers for Shorty Johansson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235552621	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	1235552621 (Virginia)	Primary

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. Shorty Johansson 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
Shorty Johansson, MD 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-0669	Shorty Johansson, MD 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-0669

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Obstetrics & Gynecology Doctors in Portsmouth, VA

Dr. Allen Williams Ayres, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-4298 Fax: 757-953-7350
Dr. Shawn Dean Redding, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-4335
Emily Connell Kemner, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 518-522-0676
Dr. Deborah Jane Wiese, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-0399 Fax: 757-953-1007
Dr. Kelly Ann Palumbo, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-4601
Syed Ahmed Hussain, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000

Shorty Johansson, MD - Medicare Obstetrics & Gynecology in Portsmouth, VA