Dr Evan Dean Johnson, MD is a medicare enrolled "Dermatology" physician in St. Charles, Illinois. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Lawrence L. Johnson, M.d., S.c. and his current practice location is
3310 W. Main Street, Suite 115, St. Charles, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 232-2885.
Dr Evan Dean Johnson is licensed to practice in Illinois (license number 036.121856) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407005218.
Physician's Profile
| Full Name | Dr Evan Dean Johnson |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 19 Years |
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| Location | 3310 W. Main Street, St. Charles, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Evan Dean Johnson graduated from medical school in 2005
NPI Data:
- NPI Number: 1407005218
- Provider Enumeration Date: 09/17/2008
- Last Update Date: 04/03/2017
Medicare PECOS Information:
- PECOS PAC ID: 7911039821
- Enrollment ID: I20100712000700
Medical Identifiers
Medical identifiers for Dr Evan Dean Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407005218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 036.121856 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lawrence L. Johnson, M.d., S.c. | 1254435175 | 2 |
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 Evan Dean Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Lawrence L. Johnson, M.d., S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376629626
PECOS PAC ID: 1254435175
Enrollment ID: O20070403000304 |
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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 Evan Dean 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 |
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Dr Evan Dean Johnson, MD
3310 W. Main Street, Suite 115,
St. Charles, IL 60175-4220
Ph: (630) 232-2885 | Dr Evan Dean Johnson, MD
3310 W. Main Street, Suite 115,
St. Charles, IL 60175-4220
Ph: (630) 232-2885 |
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