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

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



Healthcare Provider's Profile

Full NameLyndon G Johansen
GenderMale
SpecialityPodiatry
Experience34 Years
Location12658 Se Stark St, Portland, Oregon
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1306820402NPI-NPPES
045653MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist DP00230 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health PortlandPortland, ORHospital

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 NameLyndon G Johansen Dpm Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1093993453
PECOS PAC ID: 5597800334
Enrollment ID: O20100304000841

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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 AddressPractice 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

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Podiatrist in Portland, OR

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Edward Theodore Ysunza Iv,
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Phone: 503-220-8262    
Dr. Brian M. Bowen, D.P.M.
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Practice Location: 1717 Ne 42nd Ave, Suite 3300, Portland, OR 97213
Phone: 503-284-2000    Fax: 503-284-2002
Town Center Foot Clinic
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 8305 Se Monterey Ave Ste 101, Portland, OR 97266
Phone: 503-652-1121    Fax: 503-652-2193
Ray A Mcclanahan, DPM
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Medicare: Not Enrolled in Medicare
Practice Location: 725 Nw 19th Ave, Portland, OR 97209
Phone: 503-243-2699    Fax: 503-243-2698
Portland Foot And Ankle Institute, Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 12672 Nw Barnes Rd Ste 100, Portland, OR 97229
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Dr. Steven Gary Tillett, D.P.M.
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