Marisa Johnson, MD in Shreveport, LA - Medicare Internal Medicine

Marisa Johnson, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Shreveport, Louisiana. Her current practice location is 1303 Line Ave, Ste 400, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 221-2707.

Marisa Johnson is licensed to practice in Louisiana (license number MD.023908) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083615520.

Contact Information

	Marisa Johnson, MD
	1303 Line Ave, Ste 400, Shreveport, LA 71101-4628
	(318) 221-2707
	(313) 221-2709

Map and Direction

Physician's Profile

Full Name	Marisa Johnson
Gender	Female
Speciality	Internal Medicine - Nephrology
Location	1303 Line Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083615520
Provider Enumeration Date: 08/09/2005
Last Update Date: 09/06/2017

Medicare PECOS Information:

PECOS PAC ID: 0143111641
Enrollment ID: I20220915001315

Medical Identifiers

Medical identifiers for Marisa Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083615520	NPI	-	NPPES
146986802	Medicaid	TX
1487481	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	L6967 (Texas)	Secondary
207RN0300X	Internal Medicine - Nephrology	023908 (Louisiana)	Secondary
207RN0300X	Internal Medicine - Nephrology	MD.023908 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Marisa Johnson allows following entities to bill medicare on her behalf.

Entity Name	Riverside Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marisa Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Marisa Johnson, MD 1303 Line Ave, Ste 400, Shreveport, LA 71101-4628 Ph: (318) 221-2707	Marisa Johnson, MD 1303 Line Ave, Ste 400, Shreveport, LA 71101-4628 Ph: (318) 221-2707

Reviews and Comments

Internal Medicine Doctors in Shreveport, LA

Mansi Shah, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, #210, Shreveport, LA 71105 Phone: 318-798-4515 Fax: 318-798-4530
Pratik Agrawal, Nephrology Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Dr. Bader Alotaibi, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 2727 Hearne Ave Ste 301, Shreveport, LA 71103 Phone: 318-631-6400
Paul A Rushing, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4488 Fax: 318-798-4420
Sanjay Jain, Nephrology Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101 Phone: 318-221-8411
Steven R Bailey, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Venkateswara K Rao, M.D., Nephrology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000

Marisa Johnson, MD - Medicare Internal Medicine in Shreveport, LA