Andrew Robert Johnson, MD - Medicare General Surgery in Mount Vernon, IL

Andrew Robert Johnson, MD is a medicare enrolled "Surgery" physician in Mount Vernon, Illinois. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Deaconess Illinois Specialty Clinic, Inc. and his current practice location is 4218 Lincolnshire Dr, Mount Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 242-8480.

Andrew Robert Johnson is licensed to practice in Illinois (license number 036121708) 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 1164418943.

Contact Information

Andrew Robert Johnson, MD
4218 Lincolnshire Dr,
Mount Vernon, IL 62864-2156
(618) 242-8480
(618) 242-8499



Physician's Profile

Full NameAndrew Robert Johnson
GenderMale
SpecialityGeneral Surgery
Experience26 Years
Location4218 Lincolnshire Dr, Mount Vernon, Illinois
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:
  • Andrew Robert Johnson attended and graduated from University Of Missouri, Columbia School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1164418943
  • Provider Enumeration Date: 09/27/2005
  • Last Update Date: 10/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0749370195
  • Enrollment ID: I20081208000491

Medical Identifiers

Medical identifiers for Andrew Robert Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164418943NPI-NPPES
036121708MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 28808 (Mississippi)Secondary
208600000XSurgery 036121708 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Anna Hospital Corporation D/b/a Union County HospitalAnna, ILHospital
Heartland Regional Medical CenterMarion, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Deaconess Illinois Specialty Clinic, Inc.983056201681

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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. Andrew Robert Johnson allows following entities to bill medicare on his behalf.
Entity NameHeartland Rural Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275166134
PECOS PAC ID: 3072513043
Enrollment ID: O20061226000075

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Entity NameDeaconess Illinois Specialty Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972210235
PECOS PAC ID: 9830562016
Enrollment ID: O20230321001688

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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. Andrew Robert 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
Andrew Robert Johnson, MD
4218 Lincolnshire Dr, Po Box 968,
Mount Vernon, IL 62864-2156

Ph: (618) 242-8480
Andrew Robert Johnson, MD
4218 Lincolnshire Dr,
Mount Vernon, IL 62864-2156

Ph: (618) 242-8480

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Surgery Doctors in Mount Vernon, IL

Naresh Kumar Ahuja, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4230 Lincolnshire Dr Ste A, Mount Vernon, IL 62864
Phone: 618-315-6466    Fax: 618-315-6469
Kevin B Claffey, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864
Phone: 618-242-8480    Fax: 618-242-8499
Mr. Steven J Clark, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864
Phone: 618-899-3980    Fax: 618-899-4793
Kimberly Evonne Miller-hammond, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864
Phone: 770-617-5556    
Alan Scott Harad, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864
Phone: 618-242-8480    Fax: 618-242-8499
Patricia Teschke, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864
Phone: 618-899-3980    

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