Douglas Frederick Johnston, DO in Tyler, TX

Douglas Frederick Johnston, DO is a medicare enrolled "Family Medicine" physician in Tyler, Texas. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Etmc Physician Group, Inc. and his current practice location is 6210 S Broadway Ave, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 579-2700.

Douglas Frederick Johnston is licensed to practice in Texas (license number L7432) 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 1083641559.

Contact Information

	Douglas Frederick Johnston, DO
	6210 S Broadway Ave, Tyler, TX 75703-4413
	(903) 579-2700
	(903) 534-9463

Map and Direction

Physician's Profile

Full Name	Douglas Frederick Johnston
Gender	Male
Speciality	Family Practice
Experience	24 Years
Location	6210 S Broadway Ave, Tyler, Texas
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:

Douglas Frederick Johnston graduated from medical school in 2000

NPI Data:

NPI Number: 1083641559
Provider Enumeration Date: 06/28/2006
Last Update Date: 01/03/2008

Medicare PECOS Information:

PECOS PAC ID: 6103830773
Enrollment ID: I20100215000764

Medical Identifiers

Medical identifiers for Douglas Frederick Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083641559	NPI	-	NPPES
P00050031	Other		MEDICARE RR
8J0326	Other	TX	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	L7432 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ut Health East Texas Home Health Services	Pittsburg, TX	Home health agency
Ut Health East Texas Tyler Regional Hospital	Tyler, TX	Hospital
Ut Health East Texas Henderson Hospital	Henderson, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Etmc Physician Group, Inc.	4486915600	278

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. Douglas Frederick Johnston allows following entities to bill medicare on his behalf.

Entity Name	East Texas Medical Center Healthcare Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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. Douglas Frederick Johnston 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
Douglas Frederick Johnston, DO Po Box 9477, Tyler, TX 75711-9477 Ph: (903) 594-2450	Douglas Frederick Johnston, DO 6210 S Broadway Ave, Tyler, TX 75703-4413 Ph: (903) 579-2700

Reviews and Comments

Family Medicine Doctors in Tyler, TX

Dr. John W Scroggins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060
Dr. James Kent Gray, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707 Phone: 903-655-0880 Fax: 903-654-6415
Dr. Eric R Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Manhatton, Tyler, TX 75701 Phone: 903-509-8888
Michele C Bosworth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 Fax: 903-877-5080
Dr. James A Lively, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3802 Manhatton Dr, Tyler, TX 75701 Phone: 903-509-8888
Steven J Cohen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8764
Andrea M Ellis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060

Douglas Frederick Johnston, DO - Medicare Family Practice in Tyler, TX