Dr Edward Wallace Johnson Iii, MD | |
2703 Beene Blvd, Bossier City, LA 71111-5491 | |
(318) 681-4515 | |
(318) 681-4514 |
Full Name | Dr Edward Wallace Johnson Iii |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 12 Years |
Location | 2703 Beene Blvd, Bossier City, Louisiana |
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 |
---|---|---|---|
1285073890 | NPI | - | NPPES |
P01754632 | Other | TX | RAIL ROAD MEDICARE |
8GF799 | Other | TX | BCBS |
75-2616977-029 | Other | TX | TRICARE |
364829701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23591 (Mississippi) | Secondary |
207Q00000X | Family Medicine | 338347 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
Christus Trinity Clinic | 3072426741 | 1217 |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Entity Name | Mother Frances Hospital Jacksonville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
Entity Name | Mother Frances Hospital Regional Health Care Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Wallace Johnson Iii, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400 | Dr Edward Wallace Johnson Iii, MD 2703 Beene Blvd, Bossier City, LA 71111-5491 Ph: (318) 681-4515 |
Allen L. Cox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-212-7830 Fax: 318-212-7835 | |
Daniel L. Payne, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-212-7830 Fax: 318-212-7835 | |
Scott Louis Mighell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-212-7830 Fax: 318-212-7835 | |
Jason K Milligan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7839 Fax: 318-212-7837 | |
Dr. William F. Maranto, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2539 Viking Dr, Suite 101, Bossier City, LA 71111 Phone: 318-747-8100 Fax: 318-747-8152 | |
Dr. Aaron L. Lirette, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr., Suite 180, Bossier City, LA 71111 Phone: 318-212-7523 Fax: 318-212-7757 | |
Dr. Julie Chun, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2539 Viking Dr Ste 101, Bossier City, LA 71111 Phone: 318-747-8100 Fax: 318-747-8150 |