Deidra Johnson, RD, CDE in Dallas, TX - Medicare Dietitian, Registered Provider

Deidra Johnson, RD, CDE is a medicare enrolled "Dietitian, Registered" provider in Dallas, Texas. Her current practice location is 3434 Swiss Ave, Suite 410, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 828-5010.

Deidra Johnson is licensed to practice in Texas (license number DT02928) 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 1699017871.

Contact Information

	Deidra Johnson, RD, CDE
	3434 Swiss Ave, Suite 410, Dallas, TX 75204-6251
	(214) 828-5010
	(214) 828-5011

Map and Direction

Healthcare Provider's Profile

Full Name	Deidra Johnson
Gender	Female
Speciality	Dietitian, Registered
Location	3434 Swiss Ave, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699017871
Provider Enumeration Date: 03/26/2013
Last Update Date: 06/25/2013

Medicare PECOS Information:

PECOS PAC ID: 5193752962
Enrollment ID: I20050722000756

Medical Identifiers

Medical identifiers for Deidra Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699017871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DT02928 (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. Deidra Johnson allows following entities to bill medicare on her behalf.

Provider Name	American Health Assessments, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497027098 PECOS PAC ID: 3870755564 Enrollment ID: O20120425000323

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. Deidra 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 Address	Practice Location Address
Deidra Johnson, RD, CDE 3434 Swiss Ave, Suite 410, Dallas, TX 75204-6251 Ph: (214) 828-5010	Deidra Johnson, RD, CDE 3434 Swiss Ave, Suite 410, Dallas, TX 75204-6251 Ph: (214) 828-5010

Reviews and Comments

Dietitian, Registered in Dallas, TX

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Deidra Johnson, RD, CDE - Medicare Dietitian in Dallas, TX