Derek K Johnson, MD | |
3903a Fair Ridge Dr, Fairfax, VA 22033-2938 | |
(703) 648-0030 | |
(703) 648-9028 |
Full Name | Derek K Johnson |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 29 Years |
Location | 3903a Fair Ridge Dr, Fairfax, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285622183 | NPI | - | NPPES |
0018751530003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0201X | Pediatrics - Pediatric Allergy/immunology | MD 065160L (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Llc | 4385682061 | 1223 |
Privia Medical Group Llc | 4385682061 | 1223 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
---|---|
Derek K Johnson, MD 3903a Fair Ridge Dr, Fairfax, VA 22033-2938 Ph: (703) 648-0030 | Derek K Johnson, MD 3903a Fair Ridge Dr, Fairfax, VA 22033-2938 Ph: (703) 648-0030 |
Ho Chung Tu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3913 Old Lee Highway, Office No 31b, Fairfax, VA 22030 Phone: 703-359-0245 Fax: 928-436-3339 | |
Dr. Lindsey Waldman, Pediatrics Medicare: Medicare Enrolled Practice Location: 3023 Hamaker Ct, Fairfax, VA 22031 Phone: 703-839-8797 | |
Dr. Laura E. Byrnes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033 Phone: 703-391-0900 Fax: 703-391-2919 | |
Dr. Julie-ann M Crewalk, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2730-c Prosperity Avenue, Fairfax, VA 22031 Phone: 703-226-2280 Fax: 703-752-1713 | |
Sandy L. Chung, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033 Phone: 703-391-0900 Fax: 703-391-2919 | |
Dr. James R Baugh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031 Phone: 703-573-2432 Fax: 703-280-9350 | |
Benjamin Isaac Enav, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031 Phone: 571-314-0444 Fax: 855-237-3628 |