Dr Evan Michael Johnson, DO is a medicare enrolled "Family Medicine" physician in Sardis City, Alabama. He went to West Virginia School Of Osteopathic Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Family Medicine Of Sardis Pc and his current practice location is
1180 Sardis Dr, Sardis City, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 593-9999.
Dr Evan Michael Johnson is licensed to practice in Alabama (license number DO779) 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 1659399772.
Physician's Profile
| Full Name | Dr Evan Michael Johnson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 23 Years |
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| Location | 1180 Sardis Dr, Sardis City, Alabama |
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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 Michael Johnson attended and graduated from West Virginia School Of Osteopathic Medicine in 2001
NPI Data:
- NPI Number: 1659399772
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 12/12/2007
Medicare PECOS Information:
- PECOS PAC ID: 5597749655
- Enrollment ID: I20040616000317
Medical Identifiers
Medical identifiers for Dr Evan Michael Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659399772 | NPI | - | NPPES |
| 51521836 | Other | AL | BC/BS PROV. NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | DO779 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Family Medicine Of Sardis Pc | 5193709251 | 3 |
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 Michael Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Family Medicine Of Sardis Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245398304
PECOS PAC ID: 5193709251
Enrollment ID: O20040616000233 |
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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 Michael 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 Evan Michael Johnson, DO
Po Box 1049,
Boaz, AL 35957-2201
Ph: (256) 593-9999 | Dr Evan Michael Johnson, DO
1180 Sardis Dr,
Sardis City, AL 35956-2139
Ph: (256) 593-9999 |
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