Mrs Tamara Lynn Johnson, MED, RD,LD,CDE is a medicare enrolled "Dietitian, Registered" provider in Port Orford, Oregon. Her current practice location is
525 Madrona Ave, Port Orford, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 332-3861.
Mrs Tamara Lynn Johnson is licensed to practice in Oregon (license number LD-D-10203616) 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 1164069951.
Healthcare Provider's Profile
Full Name | Mrs Tamara Lynn Johnson |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 525 Madrona Ave, Port Orford, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164069951
- Provider Enumeration Date: 11/29/2019
- Last Update Date: 11/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 7911915087
- Enrollment ID: I20200217004566
Medical Identifiers
Medical identifiers for Mrs Tamara Lynn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164069951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD-D-10203616 (Oregon) | 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. Mrs Tamara Lynn Johnson allows following entities to bill medicare on her behalf.
Provider Name | Curry Health District |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1487696985 PECOS PAC ID: 2365352747 Enrollment ID: O20040109000983 |
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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. Mrs Tamara Lynn 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 |
Mrs Tamara Lynn Johnson, MED, RD,LD,CDE 525 Madrona Ave, Port Orford, OR 97465-9552 Ph: (541) 332-3861 | Mrs Tamara Lynn Johnson, MED, RD,LD,CDE 525 Madrona Ave, Port Orford, OR 97465-9552 Ph: (541) 332-3861 |
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