Dr John William Johnson, MD - Medicare Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Dr John William Johnson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fayetteville, Arkansas. His current practice location is 2907 E Joyce Blvd, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 521-8260.

Dr John William Johnson is licensed to practice in * (Not Available) (license number ) 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 1730354333.

Contact Information

Dr John William Johnson, MD
2907 E Joyce Blvd,
Fayetteville, AR 72703-5011
(479) 521-8260
Not Available



Physician's Profile

Full NameDr John William Johnson
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location2907 E Joyce Blvd, Fayetteville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730354333
  • Provider Enumeration Date: 04/24/2008
  • Last Update Date: 05/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5698806891
  • Enrollment ID: I20100702000362

Medical Identifiers

Medical identifiers for Dr John William Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730354333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine E-6033 (Arkansas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Dr John William Johnson allows following entities to bill medicare on his behalf.
Entity NameSouth Arkansas Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942435458
PECOS PAC ID: 4486705720
Enrollment ID: O20090629000005

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Entity NameWhite River Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578872297
PECOS PAC ID: 0143134270
Enrollment ID: O20110111000718

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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 John William 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 John William Johnson, MD
21952 Richland View Rd,
Elkins, AR 72727-8641

Ph: (870) 275-0320
Dr John William Johnson, MD
2907 E Joyce Blvd,
Fayetteville, AR 72703-5011

Ph: (479) 521-8260

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