Charles H Johnson, MD in Prescott, AZ

Charles H Johnson, MD is a medicare enrolled "Dermatology" physician in Prescott, Arizona. His current practice location is 830 Ainsworth Drive, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 776-0325.

Charles H Johnson is licensed to practice in Arizona (license number 17178) 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 1336129667.

Contact Information

	Charles H Johnson, MD
	830 Ainsworth Drive, Prescott, AZ 86301-1614
	(928) 776-0325
	(928) 776-0405

Map and Direction

Physician's Profile

Full Name	Charles H Johnson
Gender	Male
Speciality	Dermatology
Location	830 Ainsworth Drive, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336129667
Provider Enumeration Date: 01/20/2006
Last Update Date: 04/11/2019

Medicare PECOS Information:

PECOS PAC ID: 2769401801
Enrollment ID: I20080128000446

Medical Identifiers

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

Identifier	Type	State	Issuer
1336129667	NPI	-	NPPES
282731	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	17178 (Arizona)	Primary
207R00000X	Internal Medicine	17178 (Arizona)	Secondary

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. Charles H Johnson allows following entities to bill medicare on his behalf.

Entity Name	Arizona Associates In Dermatology And Cosmetic Surgery, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659467397 PECOS PAC ID: 0840234902 Enrollment ID: O20050620000400

Entity Name	Prescott Medical And Dermatology Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841929908 PECOS PAC ID: 4688057201 Enrollment ID: O20220815002698

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. Charles H 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
Charles H Johnson, MD 830 Ainsworth Dr, Prescott, AZ 86301-1630 Ph: (928) 776-0325	Charles H Johnson, MD 830 Ainsworth Drive, Prescott, AZ 86301-1614 Ph: (928) 776-0325

Reviews and Comments

Dermatology Doctors in Prescott, AZ

Dr. Joseph S Machuzak, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3101 Clearwater Dr Ste C, Prescott, AZ 86305 Phone: 928-202-4143 Fax: 928-233-8917
Dr. Richard Allen Cirelli, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 955 Black Dr, Prescott, AZ 86305 Phone: 928-445-7546 Fax: 928-445-7598
Dr. Carlos Frederico Rodriguez, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 830 Ainsworth Dr, Prescott, AZ 86301 Phone: 928-777-5800 Fax: 928-776-0405
Dr. Patricia I Ceballos, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 830 Ainsworth Dr, Prescott, AZ 86301 Phone: 928-777-5800 Fax: 928-776-0405
Kirsten Flynn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 830 Ainsworth Dr, Prescott, AZ 86301 Phone: 928-777-5800 Fax: 928-776-0405
Robin M Fleck, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 242 Whipple Street, Prescott, AZ 86301 Phone: 928-778-0808 Fax: 928-778-4788

Charles H Johnson, MD - Medicare Dermatology in Prescott, AZ