Dr Clancy Hagedorn Johnson, MD - Medicare Dermatology in Cullman, AL

Dr Clancy Hagedorn Johnson, MD is a medicare enrolled "Dermatology" physician in Cullman, Alabama. She went to University Of Alabama School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. Her current practice location is 1300 Bridge Creek Dr. Ne, Suite A, Cullman, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 737-7546.

Dr Clancy Hagedorn Johnson is licensed to practice in Alabama (license number 0027325) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275591315.

Contact Information

Dr Clancy Hagedorn Johnson, MD
1300 Bridge Creek Dr. Ne, Suite A,
Cullman, AL 35055
(256) 737-7546
(256) 841-6180



Physician's Profile

Full NameDr Clancy Hagedorn Johnson
GenderFemale
SpecialityDermatology
Experience22 Years
Location1300 Bridge Creek Dr. Ne, Cullman, Alabama
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Clancy Hagedorn Johnson attended and graduated from University Of Alabama School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1275591315
  • Provider Enumeration Date: 05/01/2006
  • Last Update Date: 05/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8123030947
  • Enrollment ID: I20060619000116

Medical Identifiers

Medical identifiers for Dr Clancy Hagedorn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275591315NPI-NPPES
P00390029OtherMEDICARE RAILROAD CARRIER PTAN
009937754MedicaidAL
051557589OtherALBLUE CROSS BLUE SHIELD
CC9291OtherALRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 0027325 (Alabama)Primary
207ND0900XDermatology - Dermatopathology 00027325 (Alabama)Secondary
207NS0135XDermatology - Procedural Dermatology 00027325 (Alabama)Secondary

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 Clancy Hagedorn Johnson allows following entities to bill medicare on her behalf.
Entity NameCatoma Dermatology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386055010
PECOS PAC ID: 9335367903
Enrollment ID: O20140822000855

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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 Clancy Hagedorn 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
Dr Clancy Hagedorn Johnson, MD
1300 Bridge Creek Dr. Ne, Suite A,
Cullman, AL 35055

Ph: (256) 737-7546
Dr Clancy Hagedorn Johnson, MD
1300 Bridge Creek Dr. Ne, Suite A,
Cullman, AL 35055

Ph: (256) 737-7546

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Dermatology Doctors in Cullman, AL

Steven Mark Skinner, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1205 County Road 1466, Cullman, AL 35058
Phone: 256-739-9711    Fax: 256-739-9737
Scarlette D Smith, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1705 Main Ave Sw, Suite B, Cullman, AL 35055
Phone: 256-739-8260    Fax: 256-739-8263

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