Dr Amy Wang Johnson, MD in Everett, WA

Dr Amy Wang Johnson, MD is a medicare enrolled "Pediatrics" physician in Everett, Washington. Her current practice location is 1424 Broadway, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 789-2000.

Dr Amy Wang Johnson is licensed to practice in Washington (license number 60891239) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053639070.

Contact Information

	Dr Amy Wang Johnson, MD
	1424 Broadway, Everett, WA 98201-1720
	(425) 789-2000
	(425) 789-2096

Map and Direction

Physician's Profile

Full Name	Dr Amy Wang Johnson
Gender	Female
Speciality	Pediatrics
Location	1424 Broadway, Everett, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053639070
Provider Enumeration Date: 05/14/2010
Last Update Date: 12/06/2019

Medicare PECOS Information:

PECOS PAC ID: 0840588505
Enrollment ID: I20170120001989

Medical Identifiers

Medical identifiers for Dr Amy Wang Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053639070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A121626 (California)	Secondary
208000000X	Pediatrics	60891239 (Washington)	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. Dr Amy Wang Johnson allows following entities to bill medicare on her behalf.

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

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. Dr Amy Wang 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
Dr Amy Wang Johnson, MD 1424 Broadway, Everett, WA 98201-1720 Ph: (425) 789-2000	Dr Amy Wang Johnson, MD 1424 Broadway, Everett, WA 98201-1720 Ph: (425) 789-2000

Reviews and Comments

Pediatrics Doctors in Everett, WA

Sandra Liu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-259-0966
Dr. Leah E Hastings, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3300 Fax: 425-357-3317
Ashaini Kadakia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 Fax: 425-261-1515
David Luba, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3302
Judith H. Kuo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12800 Bothell Everett Hwy, Suite 190, Everett, WA 98208 Phone: 425-316-5160 Fax: 425-316-5163
Dr. Ruth Ann Parish, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1424 Broadway, Everett, WA 98201 Phone: 425-789-2000 Fax: 425-789-2096

Dr Amy Wang Johnson, MD - Medicare Pediatrics in Everett, WA