Kevin Maurice Johnson, MD | |
2722 Merrilee Dr, Suite 230, Fairfax, VA 22031-4420 | |
(703) 698-4483 | |
(703) 698-2176 |
Full Name | Kevin Maurice Johnson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 21 Years |
Location | 2722 Merrilee Dr, Fairfax, Virginia |
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 |
---|---|---|---|
1790950897 | NPI | - | NPPES |
0109 | Other | VA | CAREFIRST BCBS |
282568 | Other | VA | KAISER PERMANENTE |
9592327 | Other | VA | AETNA - PPO |
0101245083 | Other | VA | MEDICAL LICENSE |
3848144 | Other | VA | AETNA - HMO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | D0088050 (Maryland) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 0101245083 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Alexandria Hospital | Alexandria, VA | Hospital |
Inova Mount Vernon Hospital | Alexandria, VA | Hospital |
Inova Fair Oaks Hospital | Fairfax, VA | Hospital |
Inova Fairfax Hospital | Falls church, VA | Hospital |
Inova Loudoun Hospital | Leesburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ifrc Llc | 2961829882 | 98 |
Fairfax Radiological Consultants Pc | 8628970324 | 116 |
Inova Reston Mri Center Llc | 2961540042 | 77 |
Ifrc Llc | 2961829882 | 98 |
Fairfax Radiological Consultants Pc | 8628970324 | 116 |
Ifrc Llc | 2961829882 | 98 |
Entity Name | Fairfax Radiological Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114902509 PECOS PAC ID: 8628970324 Enrollment ID: O20040123000043 |
Entity Name | Ifrc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508405317 PECOS PAC ID: 2961829882 Enrollment ID: O20200824002339 |
Mailing Address | Practice Location Address |
---|---|
Kevin Maurice Johnson, MD 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031-4420 Ph: (703) 698-4483 | Kevin Maurice Johnson, MD 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031-4420 Ph: (703) 698-4483 |
Jing Selia Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031 Phone: 703-698-4483 Fax: 703-573-0880 | |
Cheryl A Lindstrom, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031 Phone: 703-698-4444 Fax: 703-698-2176 | |
Sameena F Nasrullah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031 Phone: 703-698-4483 Fax: 703-573-0880 | |
Elise L. Berman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, #230, Fairfax, VA 22031 Phone: 703-698-4444 Fax: 703-573-0880 | |
Suzanne M Hand, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031 Phone: 703-698-4444 | |
Rodney J Butch, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2722 Merrilee Dr, Ste. 230, Fairfax, VA 22031 Phone: 703-698-4483 Fax: 703-698-2176 | |
Lily Chu Sicard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031 Phone: 703-698-4444 Fax: 703-573-0880 |