Cynthia Ruth Johnson, OD - Medicare Optometrist in Bozeman, MT

Cynthia Ruth Johnson, OD is a medicare enrolled "Optometrist" provider in Bozeman, Montana. Her current practice location is 4265 Fallon St,, Suite 1, Bozeman, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 587-0668.

Cynthia Ruth Johnson is licensed to practice in Montana (license number 530) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255423307.

Contact Information

Cynthia Ruth Johnson, OD
4265 Fallon St,, Suite 1,
Bozeman, MT 59718
(406) 587-0668
(406) 587-0396



Healthcare Provider's Profile

Full NameCynthia Ruth Johnson
GenderFemale
SpecialityOptometrist
Location4265 Fallon St,, Bozeman, Montana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255423307
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 10/28/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2062400179
  • Enrollment ID: I20040624000876

Medical Identifiers

Medical identifiers for Cynthia Ruth Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255423307NPI-NPPES
0480318MedicaidMT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 530 (Montana)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. Cynthia Ruth Johnson allows following entities to bill medicare on her behalf.
Provider NameAdvanced Eyecare Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629283155
PECOS PAC ID: 0840288056
Enrollment ID: O20040708000809

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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. Cynthia Ruth 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
Cynthia Ruth Johnson, OD
4265 Fallon St, Suite 1,
Bozeman, MT 59718-6756

Ph: (406) 587-0668
Cynthia Ruth Johnson, OD
4265 Fallon St,, Suite 1,
Bozeman, MT 59718

Ph: (406) 587-0668

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Optometrist in Bozeman, MT

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Practice Location: 1727 W College St, Bozeman, MT 59715
Phone: 406-587-9610    Fax: 406-587-8369
Bridger Eyecare
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Practice Location: 113 E Oak St Ste 2c, Bozeman, MT 59715
Phone: 406-587-2020    Fax: 844-965-9460
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Phone: 406-556-9032    
Kelsey Long Sykes, OD
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