Chaderick Demond Johnson, is a
Clinical Nurse Specialist - Chronic Care based in Danville, Virginia. Chaderick Demond Johnson is licensed to practice in Virginia (license number 910440) and his current practice location is
747 Piney Forest Rd, Danville, Virginia. He can be reached at his office (for appointments etc.) via phone at
(434) 429-8848.
NPI number for Chaderick Demond Johnson is 1104547538 and his current mailing address is 747 Piney Forest Rd, Danville, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104547538.
Provider's Profile
| Full Name | Chaderick Demond Johnson |
|---|
| Gender | Male |
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| Speciality | Clinical Nurse Specialist - Chronic Care |
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| Location | 747 Piney Forest Rd, Danville, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104547538
- Provider Enumeration Date: 09/05/2022
- Last Update Date: 09/05/2022
Medical Identifiers
Medical identifiers for Chaderick Demond Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104547538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SC2300X | Clinical Nurse Specialist - Chronic Care | 910440 (Virginia) | Primary |
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. Chaderick Demond Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chaderick Demond Johnson,
747 Piney Forest Rd,
Danville, VA 24540-2860
Ph: (434) 429-8848 | Chaderick Demond Johnson,
747 Piney Forest Rd,
Danville, VA 24540-2860
Ph: (434) 429-8848 |
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