Dr Fredrick James Bohanon, MD | |
4801 Mchugh Rd Ste C, Zachary, LA 70791-5364 | |
(225) 570-2489 | |
Not Available |
Full Name | Dr Fredrick James Bohanon |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 13 Years |
Location | 4801 Mchugh Rd Ste C, Zachary, 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 |
---|---|---|---|
1447543236 | NPI | - | NPPES |
BP1-0040982 | Other | TX | TEXAS MEDICAL BOARD, POSTGRADUATE TRAINING PERMIT |
2505696 | Medicaid | LA | |
6B4259 | Other | LA | FMC PTAN |
14457559 | Other | LA | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | BP1-0040982 (Texas) | Secondary |
208600000X | Surgery | Q1573 (Texas) | Secondary |
208600000X | Surgery | 312263 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franklin Medical Center | Winnsboro, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Franklin Parish Hospital Service District No1 | 7810893302 | 56 |
Entity Name | Franklin Parish Hospital Service District No1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619143120 PECOS PAC ID: 7810893302 Enrollment ID: O20031208000235 |
Entity Name | Hospital Service District #1 Of East Baton Rouge Parish |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962437681 PECOS PAC ID: 0941191902 Enrollment ID: O20040322000429 |
Mailing Address | Practice Location Address |
---|---|
Dr Fredrick James Bohanon, MD 4801 Mchugh Rd Ste C, Zachary, LA 70791-5364 Ph: (225) 570-2489 | Dr Fredrick James Bohanon, MD 4801 Mchugh Rd Ste C, Zachary, LA 70791-5364 Ph: (225) 570-2489 |
Francisco Jose Sanfiel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4801 Mchugh Rd, Suite C, Zachary, LA 70791 Phone: 225-570-2489 Fax: 225-570-2986 | |
Samuel B. Field, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2335 Church St, Suite E, Zachary, LA 70791 Phone: 225-570-2489 Fax: 225-570-2986 | |
Danny P Bourgeois Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4801 Mchugh Rd, Suite H, Zachary, LA 70791 Phone: 225-570-2489 Fax: 225-570-2986 |