Dr Clancy Hagedorn Johnson, MD is a medicare enrolled "Dermatology" physician in Cullman, Alabama. Her current practice location is
1300 Bridge Creek Dr. Ne, Suite A, Cullman, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 737-7546.
Dr Clancy Hagedorn Johnson is licensed to practice in Alabama (license number 0027325) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275591315.
Physician's Profile
Full Name | Dr Clancy Hagedorn Johnson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1300 Bridge Creek Dr. Ne, Cullman, Alabama |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Clancy Hagedorn Johnson attended and graduated from in
NPI Data:
- NPI Number: 1275591315
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 05/16/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Clancy Hagedorn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275591315 | NPI | - | NPPES |
P00390029 | Other | | MEDICARE RAILROAD CARRIER PTAN |
009937754 | Medicaid | AL | |
051557589 | Other | AL | BLUE CROSS BLUE SHIELD |
CC9291 | Other | AL | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 0027325 (Alabama) | Primary |
207ND0900X | Dermatology - Dermatopathology | 00027325 (Alabama) | Secondary |
207NS0135X | Dermatology - Procedural Dermatology | 00027325 (Alabama) | Secondary |
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 Clancy Hagedorn 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 Clancy Hagedorn Johnson, MD 1300 Bridge Creek Dr. Ne, Suite A, Cullman, AL 35055 Ph: (256) 737-7546 | Dr Clancy Hagedorn Johnson, MD 1300 Bridge Creek Dr. Ne, Suite A, Cullman, AL 35055 Ph: (256) 737-7546 |
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