Dr Clancy Hagedorn Johnson, MD is a medicare enrolled "Dermatology" physician in Cullman, Alabama. She went to University Of Alabama School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. 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 | Dermatology |
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Experience | 22 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 University Of Alabama School Of Medicine in 2002
NPI Data:
- NPI Number: 1275591315
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 05/16/2016
Medicare PECOS Information:
- PECOS PAC ID: 8123030947
- Enrollment ID: I20060619000116
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 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 Clancy Hagedorn Johnson allows following entities to bill medicare on her behalf.
Entity Name | Catoma Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386055010 PECOS PAC ID: 9335367903 Enrollment ID: O20140822000855 |
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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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