Dr Gary Ronald Johnson, MD - Medicare General Practice in San Andreas, CA

  1. Home
  2. Family Medicine
  3. CA
  4. San Andreas
Dr Gary Ronald Johnson, MD is a medicare enrolled "Family Medicine" physician in San Andreas, California. He went to University Of California, San Diego School Of Medicine and graduated in 1973 and has 51 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Heritage Health Center Inc and his current practice location is 588 W. St.charles Street, San Andreas, California. You can reach out to his office (for appointments etc.) via phone at (209) 754-1851.

Dr Gary Ronald Johnson is licensed to practice in California (license number G27755) 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 1114013513.

Contact Information

Dr Gary Ronald Johnson, MD
588 W. St.charles Street,
San Andreas, CA 95249
(209) 754-1851
(209) 754-0231

Map and Direction




Physician's Profile

Full NameDr Gary Ronald Johnson
GenderMale
SpecialityGeneral Practice
Experience51 Years
Location588 W. St.charles Street, San Andreas, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gary Ronald Johnson attended and graduated from University Of California, San Diego School Of Medicine in 1973
  NPI Data:
  • NPI Number: 1114013513
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 11/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3971540162
  • Enrollment ID: I20050411000674

Medical Identifiers

Medical identifiers for Dr Gary Ronald Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114013513NPI-NPPES
00G277550MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice G27755 (California)Secondary
207Q00000XFamily Medicine G27755 (California)Primary
207R00000XInternal Medicine G27755 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Iron Point Home Health Care IncFolsom, CAHome health agency
United Home Care Of Northern CaliforniaJackson, CAHome health agency
Home Health Of California IncStockton, CAHome health agency
Mark Twain Medical CenterSan andreas, CAHospital
Sutter Amador HospitalJackson, CAHospital
Sutter Medical Center, SacramentoSacramento, CAHospital
Adventist Health SonoraSonora, CAHospital
Avalon Health Care - San AndreasSan andreas, CANursing home

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 Gary Ronald Johnson allows following entities to bill medicare on his behalf.
Entity NameGary R Johnson Md, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073695557
PECOS PAC ID: 8628015815
Enrollment ID: O20050408000989
Entity NameHeritage Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801666235
PECOS PAC ID: 3577908029
Enrollment ID: O20240223003698

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 Gary Ronald 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 Gary Ronald Johnson, MD
Po Box 580,
San Andreas, CA 95249

Ph: (209) 754-1851		Dr Gary Ronald Johnson, MD
588 W. St.charles Street,
San Andreas, CA 95249

Ph: (209) 754-1851

Reviews and Comments


Family Medicine Doctors in San Andreas, CA

Matthew Joshua King-lung Kor, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 702 Mountain Ranch Rd, San Andreas, CA 95249
Phone: 092-754-4564    Fax: 209-942-3462
Dr. Michael Dennis Kifune, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1333 Highway 49, San Andreas, CA 95249
Phone: 209-755-1400    Fax: 209-755-1430
Dr. Shane Michael Patterson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 702 Mountain Ranch Rd, San Andreas, CA 95249
Phone: 209-754-0870    Fax: 209-754-0878
Mr. Dean Matthew Kelaita, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 702 Mountain Ranch Rd., San Andreas, CA 95249
Phone: 209-754-0870    Fax: 209-754-0878
Mrs. Sarah Margaret Grimes, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 702 Mountain Ranch Rd, San Andreas, CA 95249
Phone: 209-754-0870    Fax: 209-754-0878

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.