| Deborah M Johnson, MD | |
|
4950 Essen Ln Ste 300, Baton Rouge, LA 70809-3739 | |
| (225) 757-0343 | |
| (225) 757-8354 |
| Full Name | Deborah M Johnson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 4950 Essen Ln Ste 300, Baton Rouge, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902809692 | NPI | - | NPPES |
| 1446891 | Other | LA | MEDICAID GROUP |
| 1686760 | Medicaid | LA | |
| 5CK94 | Other | LA | MEDICARE GROUP |
| 5W980CK94 | Other | LA | MEDICARE GROUP NUMBER PIN |
| P00157711 | Other | LA | RAILROAD MEDICARE PIN |
| DB9815 | Other | LA | RAILROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 021976 (Louisiana) | Primary |
| Entity Name | Lafayette Health Ventures Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417986092 PECOS PAC ID: 9335043074 Enrollment ID: O20041105000263 |
| Entity Name | Lafayette General Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649408832 PECOS PAC ID: 4688581457 Enrollment ID: O20100301000064 |
| Entity Name | University Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639518087 PECOS PAC ID: 7113161977 Enrollment ID: O20130917000335 |
| Entity Name | Womans Gynecologic Oncology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811237357 PECOS PAC ID: 7911133848 Enrollment ID: O20131122001074 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah M Johnson, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5727 | Deborah M Johnson, MD 4950 Essen Ln Ste 300, Baton Rouge, LA 70809-3739 Ph: (225) 757-0343 |
Dr. Jennifer L Rippon, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 409, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013 | |
Gregory Fusilier, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 9103 Jefferson Hwy, Baton Rouge, LA 70809 Phone: 225-927-1190 Fax: 225-927-0988 | |
Dr. Yolanda Maria O'rourke, Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 7968 Essen Park, Baton Rouge, LA 70809 Phone: 225-761-6700 Fax: 225-761-6760 | |
Patricia D. Whatley, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7373 Perkins Rd, Attn: Dee / Administration, Baton Rouge, LA 70808 Phone: 225-769-4044 | |
Frederick Cerise, Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 3810 W Lakeshore Dr, Baton Rouge, LA 70808 Phone: 225-578-8886 | |
Nicholas Kyle Baldwin, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 9103 Jefferson Hwy, Baton Rouge, LA 70809 Phone: 225-927-1190 | |
Dr. Jon Richard Jackson, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-765-4050 Fax: 225-765-4046 |