Dr Riley Johnson, DO - Medicare Pain Medicine in Fort Worth, TX

Dr Riley Johnson, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fort Worth, Texas. His current practice location is 209 Saint Louis Ave Ste 100, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 294-0934.

Dr Riley Johnson is licensed to practice in Texas (license number S5940) 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 1366939779.

Contact Information

Dr Riley Johnson, DO
209 Saint Louis Ave Ste 100,
Fort Worth, TX 76104-1279
(817) 294-0934
(817) 294-1488



Physician's Profile

Full NameDr Riley Johnson
GenderMale
SpecialityPain Medicine - Interventional Pain Medicine
Location209 Saint Louis Ave Ste 100, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366939779
  • Provider Enumeration Date: 04/20/2018
  • Last Update Date: 06/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294085361
  • Enrollment ID: I20230707001737

Medical Identifiers

Medical identifiers for Dr Riley Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366939779NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation S5940 (Texas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208VP0014XPain Medicine - Interventional Pain Medicine S5940 (Texas)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 Riley Johnson allows following entities to bill medicare on his behalf.
Entity NameAxonos Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760182448
PECOS PAC ID: 0446619530
Enrollment ID: O20230707001560

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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 Riley 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 Riley Johnson, DO
209 Saint Louis Ave Ste 100,
Fort Worth, TX 76104-1279

Ph: () -
Dr Riley Johnson, DO
209 Saint Louis Ave Ste 100,
Fort Worth, TX 76104-1279

Ph: (817) 294-0934

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Pain Medicine Doctors in Fort Worth, TX

Thomas M. Ratino, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1307 8th Ave.,, Suite 506, Fort Worth, TX 76104
Phone: 817-332-6092    Fax: 817-332-6015
Tim Paul Ratino, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1307 8th Ave Ste 506, Fort Worth, TX 76104
Phone: 817-332-6092    Fax: 817-332-6015
Vinay Dalal, MD
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 413 West Rosedale, Fort Worth, TX 76104
Phone: 817-348-8082    Fax: 817-348-8772
Dr. Alfredo L. Marti, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1001 12th Ave Ste 170, Fort Worth, TX 76104
Phone: 817-810-0500    
Krishna Luitel, PA-C
Pain Medicine
Medicare: Medicare Enrolled
Practice Location: 416 S Henderson St, Fort Worth, TX 76104
Phone: 682-478-8123    Fax: 888-851-5356
Dr. Kent Mitchell, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Lipscomb St Ste 110, Fort Worth, TX 76104
Phone: 817-348-8600    Fax: 817-348-8602
Dr. Ashley M Classen, D.O.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 823 Pennsylvania Ave, Fort Worth, TX 76104
Phone: 817-332-3664    Fax: 817-882-9888

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