Mr Derrick Jerod Johnson, MS in Brandywine, MD - Audiologist

Mr Derrick Jerod Johnson, MS is a Audiologist based in Brandywine, Maryland. Mr Derrick Jerod Johnson is licensed to practice in Maryland (license number 1147) and his current practice location is 7601 Matapeake Business Drive, Brandywine, Maryland. He can be reached at his office (for appointments etc.) via phone at (301) 758-6857.

NPI number for Mr Derrick Jerod Johnson is 1942473186 and his current mailing address is Po Box 739, College Park, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942473186.

Contact Information

	Mr Derrick Jerod Johnson, MS
	7601 Matapeake Business Drive, Brandywine, MD 20613
	(301) 758-6857
	Not Available

Healthcare Provider's Profile

Full Name	Mr Derrick Jerod Johnson
Gender	Male
Speciality	Audiologist
Location	7601 Matapeake Business Drive, Brandywine, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1942473186
Provider Enumeration Date: 04/09/2008
Last Update Date: 07/16/2009

Medical Identifiers

Medical identifiers for Mr Derrick Jerod Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942473186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	1147 (Maryland)	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. Mr Derrick Jerod 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
Mr Derrick Jerod Johnson, MS Po Box 739, College Park, MD 20741-0739 Ph: (301) 758-6857	Mr Derrick Jerod Johnson, MS 7601 Matapeake Business Drive, Brandywine, MD 20613 Ph: (301) 758-6857

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Mr Derrick Jerod Johnson, MS - Audiologist in Brandywine, MD