Brian D Johnson, FNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Dixon, Illinois. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Katherine Shaw Bethea Hospital and his current practice location is
841 N Galena Ave, Suite 200, Dixon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 285-2273.
Brian D Johnson is licensed to practice in Illinois (license number 209009443) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043585573.
Physician's Profile
Full Name | Brian D Johnson |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 13 Years |
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Location | 841 N Galena Ave, Dixon, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Brian D Johnson graduated from medical school in 2011
NPI Data:
- NPI Number: 1043585573
- Provider Enumeration Date: 03/16/2012
- Last Update Date: 10/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 8123272853
- Enrollment ID: I20130206000051
Medical Identifiers
Medical identifiers for Brian D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043585573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 209009443 (Illinois) | Secondary |
207P00000X | Emergency Medicine | A151173 (Iowa) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 209009443 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Katherine Shaw Bethea Hospital | 2264480037 | 9 |
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. Brian D Johnson allows following entities to bill medicare on his behalf.
Entity Name | Cgh Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
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Entity Name | Freeport Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
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Entity Name | Valley Emergency Care Management Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841395092 PECOS PAC ID: 1850387713 Enrollment ID: O20040424000146 |
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Entity Name | Morrison Community Hospital District |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1184844938 PECOS PAC ID: 2466349907 Enrollment ID: O20080716000761 |
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Entity Name | Katherine Shaw Bethea Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
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Entity Name | In Home Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497087175 PECOS PAC ID: 3779612395 Enrollment ID: O20100520000116 |
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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. Brian D 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 |
Brian D Johnson, FNP-BC 841 N Galena Ave, Suite 200, Dixon, IL 61021-1568 Ph: (815) 285-2273 | Brian D Johnson, FNP-BC 841 N Galena Ave, Suite 200, Dixon, IL 61021-1568 Ph: (815) 285-2273 |
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