Mr Derrick Jerod Johnson, MS is a
Audiologist based in Brandywine, Maryland. Mr Derrick Jerod Johnson is licensed to practice in Maryland (license number 1147) and his current practice location is
7601 Matapeake Business Drive, Brandywine, Maryland. He can be reached at his office (for appointments etc.) via phone at
(301) 758-6857.
NPI number for Mr Derrick Jerod Johnson is 1942473186 and his current mailing address is Po Box 739, College Park, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942473186.
Healthcare Provider's Profile
Full Name | Mr Derrick Jerod Johnson |
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Gender | Male |
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Speciality | Audiologist |
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Location | 7601 Matapeake Business Drive, Brandywine, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942473186
- Provider Enumeration Date: 04/09/2008
- Last Update Date: 07/16/2009
Medical Identifiers
Medical identifiers for Mr Derrick Jerod Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942473186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 1147 (Maryland) | 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. Mr Derrick Jerod Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Derrick Jerod Johnson, MS Po Box 739, College Park, MD 20741-0739 Ph: (301) 758-6857 | Mr Derrick Jerod Johnson, MS 7601 Matapeake Business Drive, Brandywine, MD 20613 Ph: (301) 758-6857 |
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