Dr Brenda Camille Johnson, MD in Teec Nos Pos, AZ

Dr Brenda Camille Johnson, MD is a medicare enrolled "Internal Medicine" physician in Teec Nos Pos, Arizona. Her current practice location is Us Hwy 160 & Navajo Rt 35, Teec Nos Pos, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 656-5474.

Dr Brenda Camille Johnson is licensed to practice in Oregon (license number MD22804) 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 1295899763.

Contact Information

	Dr Brenda Camille Johnson, MD
	Us Hwy 160 & Navajo Rt 35, Teec Nos Pos, AZ 86514
	(928) 656-5474
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Brenda Camille Johnson
Gender	Female
Speciality	Internal Medicine
Location	Us Hwy 160 & Navajo Rt 35, Teec Nos Pos, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295899763
Provider Enumeration Date: 12/20/2006
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 3779616354
Enrollment ID: I20240514001261

Medical Identifiers

Medical identifiers for Dr Brenda Camille Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295899763	NPI	-	NPPES
287966	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD22804 (Oregon)	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 Brenda Camille Johnson allows following entities to bill medicare on her behalf.

Entity Name	Dhhs Phs Naihs Shiprock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

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 Brenda Camille 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 Brenda Camille Johnson, MD Us Hwy 160 & Navajo Rt 35, Hcr 6100 Box 30, Teec Nos Pos, AZ 86514 Ph: (928) 656-5474	Dr Brenda Camille Johnson, MD Us Hwy 160 & Navajo Rt 35, Teec Nos Pos, AZ 86514 Ph: (928) 656-5474

Dr Brenda Camille Johnson, MD - Medicare Internal Medicine in Teec Nos Pos, AZ