Loagan Mackenzie Johnson, PT, DPT is a medicare enrolled "Physical Therapist" physician in Byram, Mississippi. She went to University Of Mississippi School Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Performance Therapy Llc and her current practice location is
7213 S Siwell Rd Ste A, Byram, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 346-9191.
Loagan Mackenzie Johnson is licensed to practice in Mississippi (license number PT6875) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063036242.
Physician's Profile
| Full Name | Loagan Mackenzie Johnson |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 6 Years |
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| Location | 7213 S Siwell Rd Ste A, Byram, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Loagan Mackenzie Johnson attended and graduated from University Of Mississippi School Of Medicine in 2020
NPI Data:
- NPI Number: 1063036242
- Provider Enumeration Date: 06/03/2020
- Last Update Date: 06/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 9739502188
- Enrollment ID: I20200702000598
Medical Identifiers
Medical identifiers for Loagan Mackenzie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063036242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | PT6875 (Mississippi) | Secondary |
| 225100000X | Physical Therapist | PT6875 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Performance Therapy Llc | 7012971047 | 68 |
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. Loagan Mackenzie Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Performance Therapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851427132 PECOS PAC ID: 7012971047 Enrollment ID: O20041118000549 |
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| Entity Name | Professional Therapy Solutions Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326488263 PECOS PAC ID: 3577705573 Enrollment ID: O20130803000082 |
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| Entity Name | Drayer Physical Therapy Mississippi Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
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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. Loagan Mackenzie 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 |
Loagan Mackenzie Johnson, PT, DPT 420 Araglen Drive, Canton, MS 39046 Ph: (601) 934-0659 | Loagan Mackenzie Johnson, PT, DPT 7213 S Siwell Rd Ste A, Byram, MS 39272-9776 Ph: (601) 346-9191 |
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