Archiebold Johnson, MD in Bronx, NY - Medicare Anesthesiology

Archiebold Johnson, MD is a medicare enrolled "Anesthesiology" physician in Bronx, New York. He went to Howard University College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Sedation Vacation Perioperative Medicine Pllc and his current practice location is 111 E 210th St, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 920-4316.

Archiebold Johnson is licensed to practice in New York (license number 304245) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1720440795.

Contact Information

	Archiebold Johnson, MD
	111 E 210th St, Bronx, NY 10467-2401
	(718) 920-4316
	(718) 881-2245

Map and Direction

Physician's Profile

Full Name	Archiebold Johnson
Gender	Male
Speciality	Anesthesiology
Experience	8 Years
Location	111 E 210th St, Bronx, New York
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Archiebold Johnson attended and graduated from Howard University College Of Medicine in 2016

NPI Data:

NPI Number: 1720440795
Provider Enumeration Date: 03/28/2016
Last Update Date: 11/30/2020

Medicare PECOS Information:

PECOS PAC ID: 0840619383
Enrollment ID: I20201001002178

Medical Identifiers

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

Identifier	Type	State	Issuer
1720440795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	304245 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sedation Vacation Perioperative Medicine Pllc	1759658594	71

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. Archiebold Johnson allows following entities to bill medicare on his behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

Entity Name	Sedation Vacation Perioperative Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891235404 PECOS PAC ID: 1759658594 Enrollment ID: O20170525001955

Entity Name	Centurion Midtown Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750087854 PECOS PAC ID: 3971965526 Enrollment ID: O20230814001351

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. Archiebold 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
Archiebold Johnson, MD 111 E 210th St, Bronx, NY 10467-2401 Ph: () -	Archiebold Johnson, MD 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-4316

Reviews and Comments

Anesthesiology Doctors in Bronx, NY

Shivaditya Choudhury, Anesthesiology Medicare: Medicare Enrolled Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-4321
Dr. Philipp Johann Fassbender, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-4316
Dr. Raymond Hinson, M. D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 East 210 Street, Mmc Anesthesiology, Bronx, NY 10467 Phone: 718-920-4316 Fax: 718-881-2245
Michael Craig Steng, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Anesthesiology, Bronx, NY 10467 Phone: 718-904-2872
Dr. David J Aguilar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 234 E 149th Street, Lincoln Medical & Mental Health Hospital, Bronx, NY 10451 Phone: 718-579-6000 Fax: 718-579-5027
Sabina Musovic, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 234 East 149th Street, Gme Office 5c -190-191, Bronx, NY 10451 Phone: 718-579-6679
Olga Zimlin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Mmc - Dept. Of Anesthesiology, 111 East 210th Street, Bronx, NY 10467 Phone: 718-920-4316

Archiebold Johnson, MD - Medicare Anesthesiology in Bronx, NY