Dr Kenneth Travis Johnson Jr, MD | |
2812 Highway 28 E, Pineville, LA 71360-5715 | |
(318) 528-3355 | |
(318) 528-3356 |
Full Name | Dr Kenneth Travis Johnson Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 2812 Highway 28 E, Pineville, 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 |
---|---|---|---|
1932182201 | NPI | - | NPPES |
1356280 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 017148 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lagniappe Homecare Alexandria | Alexandria, LA | Home health agency |
Central La Home Health Care, Llc | Alexandria, LA | Home health agency |
Stat Home Health-central | Alexandria, LA | Home health agency |
Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Rapides Regional Medical Center | Alexandria, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
Entity Name | C H Wilkinson Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20070911000793 |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20200910000388 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Travis Johnson Jr, MD 919 Hidden Rdg, Irving, TX 75038-3813 Ph: (469) 282-2711 | Dr Kenneth Travis Johnson Jr, MD 2812 Highway 28 E, Pineville, LA 71360-5715 Ph: (318) 528-3355 |
Mr. Jonathan S Forester, MD MS Family Medicine Medicare: Medicare Enrolled Practice Location: 2809 Donahue Ferry Rd, Pineville, LA 71360 Phone: 318-641-0865 Fax: 318-640-3290 | |
Dr. James Edwards Wallace Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1135 Expressway Dr, Suite 200 A, Pineville, LA 71360 Phone: 318-561-9600 Fax: 318-561-0228 | |
Ms. Teresa Elena Hamm, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-473-0010 | |
Dametria A Sinegal-daniel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 352 Hospital Blvd, Pineville, LA 71360 Phone: 318-448-0811 Fax: 318-473-1435 | |
Dr. Vincent D Mallory, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-466-2106 | |
Trung Dang Le, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-466-4321 | |
Mary Emelee Benjamin, N.P. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2495 Shreveport Hwy Ste 104, Pineville, LA 71360 Phone: 318-466-4522 Fax: 318-445-1663 |