| Dr Fredrick James Bohanon, MD | |
|
4801 Mchugh Rd Ste C, Zachary, LA 70791-5364 | |
| (225) 570-2489 | |
| Not Available |
| Full Name | Dr Fredrick James Bohanon |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 4801 Mchugh Rd Ste C, Zachary, Louisiana |
| 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 |
|---|---|---|---|
| 1447543236 | NPI | - | NPPES |
| BP1-0040982 | Other | TX | TEXAS MEDICAL BOARD, POSTGRADUATE TRAINING PERMIT |
| 2505696 | Medicaid | LA | |
| 6B4259 | Other | LA | FMC PTAN |
| 14457559 | Other | LA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | BP1-0040982 (Texas) | Secondary |
| 208600000X | Surgery | Q1573 (Texas) | Secondary |
| 208600000X | Surgery | 312263 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franklin Medical Center | Winnsboro, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franklin Parish Hospital Service District No1 | 7810893302 | 65 |
| Entity Name | Franklin Parish Hospital Service District No1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619143120 PECOS PAC ID: 7810893302 Enrollment ID: O20031208000235 |
| Entity Name | Hospital Service District #1 Of East Baton Rouge Parish |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962437681 PECOS PAC ID: 0941191902 Enrollment ID: O20040322000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fredrick James Bohanon, MD 4801 Mchugh Rd Ste C, Zachary, LA 70791-5364 Ph: (225) 570-2489 | Dr Fredrick James Bohanon, MD 4801 Mchugh Rd Ste C, Zachary, LA 70791-5364 Ph: (225) 570-2489 |
Francisco Jose Sanfiel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4801 Mchugh Rd, Suite C, Zachary, LA 70791 Phone: 225-570-2489 Fax: 225-570-2986 | |
Samuel B. Field, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2335 Church St, Suite E, Zachary, LA 70791 Phone: 225-570-2489 Fax: 225-570-2986 | |
Danny P Bourgeois Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4801 Mchugh Rd, Suite H, Zachary, LA 70791 Phone: 225-570-2489 Fax: 225-570-2986 |