Dr Frederick L Johnson, MD | |
987 Parallel Dr, Lakeport, CA 95453-5702 | |
(707) 263-7428 | |
(707) 263-7425 |
Full Name | Dr Frederick L Johnson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 35 Years |
Location | 987 Parallel Dr, Lakeport, California |
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 |
---|---|---|---|
1104983360 | NPI | - | NPPES |
00A556180 | Other | CA | BLUE SHIELD |
00A556180 | Medicaid | CA | |
A55618 | Other | CA | LICENSE |
CN2480 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A556180 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Stanislaus Surgical Hospital | Modesto, CA | Hospital |
Mercy Medical Center | Merced, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bear Creek Anesthesia Medical Group | 6002826518 | 9 |
Allied Anesthesia Medical Group Inc | 6103728407 | 167 |
Core Anesthesia Provider Services Pc | 7719367093 | 10 |
Entity Name | Allied Anesthesia Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346267267 PECOS PAC ID: 6103728407 Enrollment ID: O20040126001001 |
Entity Name | Bear Creek Anesthesia Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154389146 PECOS PAC ID: 6002826518 Enrollment ID: O20060427000806 |
Entity Name | Premiercare Anesthesia Fountain Valley Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831536531 PECOS PAC ID: 5698903003 Enrollment ID: O20140110000426 |
Entity Name | Core Anesthesia Provider Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538800388 PECOS PAC ID: 7719367093 Enrollment ID: O20220705000130 |
Mailing Address | Practice Location Address |
---|---|
Dr Frederick L Johnson, MD 987 Parallel Dr, Lakeport, CA 95453-5702 Ph: (707) 263-7428 | Dr Frederick L Johnson, MD 987 Parallel Dr, Lakeport, CA 95453-5702 Ph: (707) 263-7428 |
Dr. Kerry John Hollenbeck, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5000 | |
Helen Vernetta Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 987 Parallel Dr, Suite 104, Lakeport, CA 95453 Phone: 707-263-7428 Fax: 707-263-7425 | |
Harrison B Edgley Jr., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 888-453-6625 Fax: 818-550-0909 | |
Darcene Melaac Munir, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 818-550-0900 Fax: 303-953-8260 |