John Derek Johnson, MD | |
180 Ninth St, Lasalle Family Medicine Clinic, Jena, LA 71342-3900 | |
(318) 992-9200 | |
Not Available |
Full Name | John Derek Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 12 Years |
Location | 180 Ninth St, Jena, 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 |
---|---|---|---|
1619234945 | NPI | - | NPPES |
2188658 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 206647 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lasalle Gen Hosp Home Health Agency | Jena, LA | Home health agency |
Louisiana Homecare Of Miss-lou | Ferriday, LA | Home health agency |
All Saints Hospice | Marksville, LA | Hospice |
Lasalle General Hospital | Jena, LA | Hospital |
Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
Lasalle Nursing Home | Jena, LA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Service District 2 Of Lasalle Parish | 3971596164 | 11 |
Jena Ess Hospitalist Llc | 5294954533 | 4 |
Lsumc-s Family Practice Medical | 7719885367 | 12 |
Entity Name | Lsumc-s Family Practice Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992888101 PECOS PAC ID: 7719885367 Enrollment ID: O20031222000187 |
Entity Name | Hospital Service District #2 Of Lasalle Parish |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801825005 PECOS PAC ID: 3971596164 Enrollment ID: O20040628001134 |
Entity Name | Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
Entity Name | Ess Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20130515000072 |
Entity Name | Jena Ess Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235544115 PECOS PAC ID: 7810116258 Enrollment ID: O20140916002675 |
Entity Name | Jena Ess Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144635020 PECOS PAC ID: 5294954533 Enrollment ID: O20140918000317 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
---|---|
John Derek Johnson, MD Po Box 2780, Lasalle Family Medicine Clinic, Jena, LA 71342-2780 Ph: (318) 992-9200 | John Derek Johnson, MD 180 Ninth St, Lasalle Family Medicine Clinic, Jena, LA 71342-3900 Ph: (318) 992-9200 |