Dr Ryan Michael Johnson, DO - Medicare Neurological Surgery in Normal, IL

Dr Ryan Michael Johnson, DO is a medicare enrolled "Neurological Surgery" physician in Normal, Illinois. His current practice location is 1300 Franklin Ave Ste 110, Normal, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 268-3502.

Dr Ryan Michael Johnson is licensed to practice in Illinois (license number 125069500) 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 1932559119.

Contact Information

Dr Ryan Michael Johnson, DO
1300 Franklin Ave Ste 110,
Normal, IL 61761-3799
(309) 268-3502
Not Available



Physician's Profile

Full NameDr Ryan Michael Johnson
GenderMale
SpecialityNeurological Surgery
Location1300 Franklin Ave Ste 110, Normal, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932559119
  • Provider Enumeration Date: 06/17/2016
  • Last Update Date: 06/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1456643600
  • Enrollment ID: I20230831002385

Medical Identifiers

Medical identifiers for Dr Ryan Michael Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932559119NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 125069500 (Illinois)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 Ryan Michael Johnson allows following entities to bill medicare on his behalf.
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

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Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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› Verified 9 days ago

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 Ryan Michael 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 Ryan Michael Johnson, DO
2000 N Linden St Apt C305,
Normal, IL 61761-5337

Ph: (740) 632-3117
Dr Ryan Michael Johnson, DO
1300 Franklin Ave Ste 110,
Normal, IL 61761-3799

Ph: (309) 268-3502

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› Verified 9 days ago


Neurological Surgery Doctors in Normal, IL

Paul Jene Gustin, DO
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 1300 Franklin Ave, Normal, IL 61761
Phone: 309-268-3502    
Dr. Gina Nicole Guglielmi, DO
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 1304 Franklin Ave, Normal, IL 61761
Phone: 309-454-1400    
Dr. Joshua Sterling Bentley, D.O.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Franklin Ave, Normal, IL 61761
Phone: 309-268-3713    

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