| Mr Charles M Johnson Jr, PA-C | |
|
3824 Ne Evangeline Trwy, Carencro, LA 70520-5966 | |
| (337) 565-2675 | |
| (337) 565-2676 |
| Full Name | Mr Charles M Johnson Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 3824 Ne Evangeline Trwy, Carencro, 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 |
|---|---|---|---|
| 1114940087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | A30094 (Louisiana) | Secondary |
| 363A00000X | Physician Assistant | PA.A10372 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Regional Medical Center | Ville platte, LA | Hospital |
| Oakdale Community Hospital | Oakdale, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clhg-oakdale Llc | 1355623943 | 39 |
| Clhg-acadian Llc | 0840521209 | 34 |
| Clhg-ville Platte Llc | 4486903309 | 45 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles M Johnson Jr, PA-C 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (337) 565-2675 | Mr Charles M Johnson Jr, PA-C 3824 Ne Evangeline Trwy, Carencro, LA 70520-5966 Ph: (337) 565-2675 |
Abby Jolie Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3824 Ne Evangeline Trwy, Carencro, LA 70520 Phone: 337-565-2675 |