Clyde L Johnson Jr, MD - Medicare Surgery in Richmond, VA

Clyde L Johnson Jr, MD is a medicare enrolled "Surgery" physician in Richmond, Virginia. His current practice location is 1051 Johnston Willis Dr., St. 200, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 320-2705.

Clyde L Johnson Jr is licensed to practice in Virginia (license number 0101-223144) 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 1124007851.

Contact Information

Clyde L Johnson Jr, MD
1051 Johnston Willis Dr., St. 200,
Richmond, VA 23235
(804) 320-2705
(804) 330-2433



Physician's Profile

Full NameClyde L Johnson Jr
GenderMale
SpecialitySurgery
Location1051 Johnston Willis Dr., Richmond, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124007851
  • Provider Enumeration Date: 01/11/2006
  • Last Update Date: 03/10/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1557498961
  • Enrollment ID: I20100415000932

Medical Identifiers

Medical identifiers for Clyde L Johnson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124007851NPI-NPPES
7310871MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 0101223144 (Virginia)Secondary
208600000XSurgery 0101-223144 (Virginia)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. Clyde L 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
Clyde L Johnson Jr, MD
1051 Johnston Willis Dr., St. 200,
Richmond, VA 23235

Ph: (804) 320-2705
Clyde L Johnson Jr, MD
1051 Johnston Willis Dr., St. 200,
Richmond, VA 23235

Ph: (804) 320-2705

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Surgery Doctors in Richmond, VA

Dr. Jeannie Rivers, MD
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Jessica Anne Frankenhoff, MD
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Diane Renee Cox, MD
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Practice Location: 1051 Johnston Willis Dr, St 200, Richmond, VA 23235
Phone: 804-320-2705    Fax: 804-330-2433
Matthew Macey, M.D.
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Phone: 804-330-9105    Fax: 804-287-6119
Francisco Cabral Albuquerque Jr., M.D.
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Practice Location: 1250 E Marshall St, Surgery, Richmond, VA 23298
Phone: 804-828-3211    Fax: 804-827-2744
Dr. Emily Burke Rivet, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1250 E Marshall St, Dept. Of Surgery/bariatric & Gastrointestinal, Richmond, VA 23298
Phone: 804-327-8001    Fax: 804-327-8002

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