Versan Johnson, MD is a
Pain Medicine - Interventional Pain Medicine physician based in Lake Mary, Florida. Versan Johnson is licensed to practice in Florida (license number ME130663) and her current practice location is 761 Stirling Center Pl, Lake Mary, Florida. She can be reached at her office (for appointments etc.) via phone at
(407) 732-7682.
NPI number for Versan Johnson is 1447549985 and her current mailing address is 1740 W Taylor St, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447549985.
Physician's Profile
| Full Name | Versan Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
|---|
| Location | 761 Stirling Center Pl, Lake Mary, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447549985
- Provider Enumeration Date: 04/05/2011
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Versan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447549985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | ME130663 (Florida) | 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. Versan 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 |
Versan Johnson, MD 1740 W Taylor St, Chicago, IL 60612-7232 Ph: (312) 996-4021 | Versan Johnson, MD 761 Stirling Center Pl, Lake Mary, FL 32746-5700 Ph: (407) 732-7682 |
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