Dr Jack Allen Johnson Jr, PHD - Medicare Psychologist in Baton Rouge, LA

Dr Jack Allen Johnson Jr, PHD is a medicare enrolled "Psychologist - Clinical" provider in Baton Rouge, Louisiana. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Our Lady Of The Lake Physician Group Llc and his current practice location is 7777 Hennessy Blvd Ste 501b, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 765-3456.

Dr Jack Allen Johnson Jr is licensed to practice in Louisiana (license number 990) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295992030.

Contact Information

Dr Jack Allen Johnson Jr, PHD
7777 Hennessy Blvd Ste 501b,
Baton Rouge, LA 70808-4300
(225) 765-3456
(225) 765-5547



Healthcare Provider's Profile

Full NameDr Jack Allen Johnson Jr
GenderMale
SpecialityClinical Psychologist
Experience23 Years
Location7777 Hennessy Blvd Ste 501b, Baton Rouge, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jack Allen Johnson Jr graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1295992030
  • Provider Enumeration Date: 05/20/2008
  • Last Update Date: 04/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1456759174
  • Enrollment ID: I20211012000037

Medical Identifiers

Medical identifiers for Dr Jack Allen Johnson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295992030NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 990 (Louisiana)Secondary
103TB0200XPsychologist - Cognitive & Behavioral 990 (Louisiana)Secondary
103TM1800XPsychologist - Intellectual & Developmental Disabilities 990 (Louisiana)Secondary
103TC0700XPsychologist - Clinical 990 (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Our Lady Of The Lake Physician Group Llc4587849781521

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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. Dr Jack Allen Johnson Jr allows following entities to bill medicare on his behalf.
Entity NameOur Lady Of The Lake Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377

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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. Dr Jack Allen Johnson Jr 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 AddressPractice Location Address
Dr Jack Allen Johnson Jr, PHD
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (225) 765-3456
Dr Jack Allen Johnson Jr, PHD
7777 Hennessy Blvd Ste 501b,
Baton Rouge, LA 70808-4300

Ph: (225) 765-3456

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Psychologist in Baton Rouge, LA

Dr. Franziska Noacklesage, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 7784 Innovation Park Dr, Baton Rouge, LA 70820
Phone: 225-343-4232    Fax: 225-343-4233
Dr. Raymond Tucker, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808
Phone: 225-765-6565    
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Medicare: Not Enrolled in Medicare
Practice Location: 740 Colonial Dr, Baton Rouge, LA 70806
Phone: 225-216-9422    Fax: 225-216-1260
Mary Lou Kelley, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 7936 Wrenwood Blvd Ste B, Baton Rouge, LA 70809
Phone: 225-925-2036    
Dr. Adam Robert Reinwald, PSY.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 7850 Anselmo Ln, Baton Rouge, LA 70810
Phone: 985-276-8863    
Dr. Rachel Renee Stokes, PSY.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 2333 Government St, Baton Rouge, LA 70806
Phone: 225-383-3414    
Dr. Alyson Powell Mccain, PHD.
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Medicare: Not Enrolled in Medicare
Practice Location: 10211 Siegen Lane, Ste 2b, Baton Rouge, LA 70810
Phone: 225-767-3121    Fax: 225-767-3122

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