Alexander Alide Johnson, DO - Medicare Family Medicine in Moses Lake, WA

Alexander Alide Johnson, DO is a medicare enrolled "Family Medicine" physician in Moses Lake, Washington. His current practice location is 8420 Aspi Blvd, Moses Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 793-9781.

Alexander Alide Johnson is licensed to practice in Washington (license number OP61459255) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245851971.

Contact Information

Alexander Alide Johnson, DO
8420 Aspi Blvd,
Moses Lake, WA 98837-3601
(509) 793-9781
(509) 764-3281



Physician's Profile

Full NameAlexander Alide Johnson
GenderMale
SpecialityFamily Medicine
Location8420 Aspi Blvd, Moses Lake, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245851971
  • Provider Enumeration Date: 05/05/2020
  • Last Update Date: 08/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941621726
  • Enrollment ID: I20230828002913

Medical Identifiers

Medical identifiers for Alexander Alide Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245851971NPI-NPPES
2251041MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OP61459255 (Washington)Primary

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. Alexander Alide Johnson allows following entities to bill medicare on his behalf.
Entity NameGrant County Public Hospital District 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619086766
PECOS PAC ID: 9931095692
Enrollment ID: O20040227000602

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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. Alexander Alide 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 AddressPractice Location Address
Alexander Alide Johnson, DO
660 S Coolidge St,
Moses Lake, WA 98837-1872

Ph: (097) 939-7155
Alexander Alide Johnson, DO
8420 Aspi Blvd,
Moses Lake, WA 98837-3601

Ph: (509) 793-9781

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Family Medicine Doctors in Moses Lake, WA

Casey Michelle Celerian,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-663-8711    
Matthew Hardy, M.S., D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 605 S Coolidge St, Moses Lake, WA 98837
Phone: 509-765-0674    
Dr. Micheal Ryan Tolley, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 605 S Coolidge St, Moses Lake, WA 98837
Phone: 509-765-0674    
Ed Hoover, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-765-0216    
Dr. Kim Trong Nguyen, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 605 S Coolidge St, Moses Lake, WA 98837
Phone: 509-765-0674    Fax: 509-765-6591
Cameron M. Beck, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 605 S Coolidge St, Moses Lake, WA 98837
Phone: 509-765-0674    Fax: 509-765-6591
Jill Simon, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 605 S Coolidge St, Moses Lake, WA 98837
Phone: 509-765-0674    

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