Dr Carl Winston Johnson Ii, MD in Tinley Park, IL

Dr Carl Winston Johnson Ii, MD is a medicare enrolled "Surgery" physician in Tinley Park, Illinois. His current practice location is 6703 W 159th Street, Suite 110, Tinley Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 331-1122.

Dr Carl Winston Johnson Ii is licensed to practice in Illinois (license number 36107266) 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 1467450122.

Contact Information

	Dr Carl Winston Johnson Ii, MD
	6703 W 159th Street, Suite 110, Tinley Park, IL 60477
	(708) 331-1122
	(708) 331-5987

Map and Direction

Physician's Profile

Full Name	Dr Carl Winston Johnson Ii
Gender	Male
Speciality	Surgery
Location	6703 W 159th Street, Tinley Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467450122
Provider Enumeration Date: 07/07/2005
Last Update Date: 09/05/2018

Medicare PECOS Information:

PECOS PAC ID: 9335100916
Enrollment ID: I20041026001089

Medical Identifiers

Medical identifiers for Dr Carl Winston Johnson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467450122	NPI	-	NPPES
36107266	Medicaid	IL
363950/L93169	Other	IL	MEDICARE GROUP/PROVIDER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	36107266 (Illinois)	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 Carl Winston Johnson Ii allows following entities to bill medicare on his behalf.

Entity Name	Pro Health One Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053714584 PECOS PAC ID: 2466778089 Enrollment ID: O20201118002076

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 Carl Winston Johnson Ii 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 Carl Winston Johnson Ii, MD 6703 W 159th Street, Suite 110, Tinley Park, IL 60477 Ph: (708) 331-1122	Dr Carl Winston Johnson Ii, MD 6703 W 159th Street, Suite 110, Tinley Park, IL 60477 Ph: (708) 331-1122

Reviews and Comments

Surgery Doctors in Tinley Park, IL

Dr. Gary R Peplinski, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6703 W 159th Street, Suite 110, Tinley Park, IL 60477 Phone: 708-331-1122 Fax: 708-331-5987
Dr. Patrick Coffey, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8505 183rd St Ste A, Tinley Park, IL 60487 Phone: 815-824-4406
Mengdi Yao, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8505 183rd St Ste A, Tinley Park, IL 60487 Phone: 815-824-4406
Christian Fritz Hyacinthe, MD Surgery Medicare: Medicare Enrolled Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-226-7000 Fax: 708-388-5672
Dr. Joslyn M Albright, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 18210 La Grange Rd Ste 105, Tinley Park, IL 60487 Phone: 708-478-4407 Fax: 708-478-4007
Felipe Gracias, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 815-416-6641 Fax: 630-432-6604

Dr Carl Winston Johnson Ii, MD - Medicare Surgery in Tinley Park, IL