Riley Benjamin Johnson, RD in Cottonwood, AZ - Medicare Dietitian, Registered Provider

Riley Benjamin Johnson, RD is a medicare enrolled "Dietitian, Registered" provider in Cottonwood, Arizona. His current practice location is 269 S Candy Ln, Cottonwood, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 639-6557.

Riley Benjamin Johnson is licensed to practice in * (Not Available) (license number 86152158) 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 1306463740.

Contact Information

	Riley Benjamin Johnson, RD
	269 S Candy Ln, Cottonwood, AZ 86326-4158
	(928) 639-6557
	(928) 639-6340

Map and Direction

Healthcare Provider's Profile

Full Name	Riley Benjamin Johnson
Gender	Male
Speciality	Dietitian, Registered
Location	269 S Candy Ln, Cottonwood, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306463740
Provider Enumeration Date: 07/01/2020
Last Update Date: 07/01/2020

Medicare PECOS Information:

PECOS PAC ID: 3274978911
Enrollment ID: I20240304002174

Medical Identifiers

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

Identifier	Type	State	Issuer
1306463740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86152158 (* (Not Available))	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. Riley Benjamin Johnson allows following entities to bill medicare on his behalf.

Provider Name	Carolina Nephrology Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679557516 PECOS PAC ID: 2961467733 Enrollment ID: O20041122000627

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. Riley Benjamin 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
Riley Benjamin Johnson, RD 269 S Candy Ln, Cottonwood, AZ 86326-4158 Ph: (928) 639-6557	Riley Benjamin Johnson, RD 269 S Candy Ln, Cottonwood, AZ 86326-4158 Ph: (928) 639-6557

Reviews and Comments

Dietitian, Registered in Cottonwood, AZ

Lisa Hill, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S. Candy Lane, Cottonwood, AZ 86326 Phone: 928-639-6543 Fax: 928-639-6340
Donna M Lucas, R.D,L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6543 Fax: 928-639-6340
Najva Sadeghi, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6575 Fax: 928-639-6340
Ms. Tamara Jean Nisly, REGISTERED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 S 6th St, Cottonwood, AZ 86326 Phone: 928-639-8130 Fax: 928-639-8179
Kim Marie Reed, RD, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S. Candy Lane, Cottonwood, AZ 86326 Phone: 928-639-6557
Suzanne Maestas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6557

Riley Benjamin Johnson, RD - Medicare Dietitian in Cottonwood, AZ