Dr Craig H Johnson, MD - Medicare Neurological Surgery in West Reading, PA

Dr Craig H Johnson, MD is a medicare enrolled "Neurological Surgery" physician in West Reading, Pennsylvania. His current practice location is 601 Spruce St, West Reading, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 375-4567.

Dr Craig H Johnson is licensed to practice in Pennsylvania (license number MD015662E) 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 1528028420.

Contact Information

Dr Craig H Johnson, MD
601 Spruce St,
West Reading, PA 19611-1443
(610) 375-4567
(610) 685-8801

Map and Direction




Physician's Profile

Full NameDr Craig H Johnson
GenderMale
SpecialityNeurological Surgery
Location601 Spruce St, West Reading, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528028420
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 09/06/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2264482421
  • Enrollment ID: I20051114000019

Medical Identifiers

Medical identifiers for Dr Craig H Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528028420NPI-NPPES
490633OtherPAAETNA PPO
P00730454OtherPARAILROAD ID
01400001OtherPACAPITAL BLUE CROSS
5554OtherPAHEALTH AMERICA
022036R1XOtherPAMEDICARE ID
022036OtherPAHIGHMARK BLUE SHIELD
455952OtherPAAETNA HMO
478220001OtherPAHEALTH NOW NY INC
0007408000001MedicaidPA
116567600OtherPAUS DEPARTMENT OF LABOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery MD015662E (Pennsylvania)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 Craig H Johnson allows following entities to bill medicare on his behalf.
Entity NameTower Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609291350
PECOS PAC ID: 7618889213
Enrollment ID: O20040311000072

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 Craig H 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 AddressPractice Location Address
Dr Craig H Johnson, MD
601 Spruce St,
West Reading, PA 19611-1443

Ph: (610) 375-4567
Dr Craig H Johnson, MD
601 Spruce St,
West Reading, PA 19611-1443

Ph: (610) 375-4567

Reviews and Comments


Neurological Surgery Doctors in West Reading, PA

Richard A Close, M.D.
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 601 Spruce St, West Reading, PA 19611
Phone: 610-375-4567    Fax: 610-685-8801
Herman Christopher Lawson, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 601 Spruce St, Suite 101, West Reading, PA 19611
Phone: 610-375-4567    Fax: 610-375-1203
Dr. Amber Lynn Valeri, DO
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 601 Spruce St, West Reading, PA 19611
Phone: 484-628-8900    
Dr. Brandon K Root, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 601 Spruce St, West Reading, PA 19611
Phone: 484-628-8900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.