| Derek K Johnson, MD | |
|
3903a Fair Ridge Dr, Fairfax, VA 22033-2938 | |
| (703) 648-0030 | |
| (703) 648-9028 |
| Full Name | Derek K Johnson |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 30 Years |
| Location | 3903a Fair Ridge 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 |
|---|---|---|---|
| 1285622183 | NPI | - | NPPES |
| 0018751530003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | MD 065160L (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek K Johnson, MD 3903a Fair Ridge Dr, Fairfax, VA 22033-2938 Ph: (703) 648-0030 | Derek K Johnson, MD 3903a Fair Ridge Dr, Fairfax, VA 22033-2938 Ph: (703) 648-0030 |
Ho Chung Tu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3913 Old Lee Highway, Office No 31b, Fairfax, VA 22030 Phone: 703-359-0245 Fax: 928-436-3339 | |
Dr. Lindsey Waldman, Pediatrics Medicare: Medicare Enrolled Practice Location: 3023 Hamaker Ct, Fairfax, VA 22031 Phone: 703-839-8797 | |
Dr. Laura E. Byrnes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033 Phone: 703-391-0900 Fax: 703-391-2919 | |
Dr. Julie-ann M Crewalk, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2730-c Prosperity Avenue, Fairfax, VA 22031 Phone: 703-226-2280 Fax: 703-752-1713 | |
David J Harrison, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 8260 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-573-0504 Fax: 703-573-4856 | |
Sandy L. Chung, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033 Phone: 703-391-0900 Fax: 703-391-2919 | |
Dr. James R Baugh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031 Phone: 703-573-2432 Fax: 703-280-9350 |