Dr Jacob Daniel Johnson, DO - Surgery in Taylor, MI

Dr Jacob Daniel Johnson, DO is a Surgery - Vascular Surgery physician based in Taylor, Michigan. Dr Jacob Daniel Johnson is licensed to practice in Michigan (license number 5101020933) and his current practice location is 15411 Park Village Blvd, Taylor, Michigan. He can be reached at his office (for appointments etc.) via phone at (646) 714-1984.

NPI number for Dr Jacob Daniel Johnson is 1962760124 and his current mailing address is 15411 Park Village Blvd, Taylor, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962760124.

Contact Information

Dr Jacob Daniel Johnson, DO
15411 Park Village Blvd,
Taylor, MI 48180-4886
(646) 714-1984
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacob Daniel Johnson
GenderMale
SpecialitySurgery - Vascular Surgery
Location15411 Park Village Blvd, Taylor, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962760124
  • Provider Enumeration Date: 04/25/2012
  • Last Update Date: 11/21/2015

Medical Identifiers

Medical identifiers for Dr Jacob Daniel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962760124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 5101020933 (Michigan)Primary
208600000XSurgery 5101020933 (Michigan)Secondary

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 Jacob Daniel Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jacob Daniel Johnson, DO
15411 Park Village Blvd,
Taylor, MI 48180-4886

Ph: () -
Dr Jacob Daniel Johnson, DO
15411 Park Village Blvd,
Taylor, MI 48180-4886

Ph: (646) 714-1984

Reviews and Comments


Surgery Doctors in Taylor, MI

Dr. Ganesh Ramaswami, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 12701 Telegraph Rd, Suite 102, Taylor, MI 48180
Phone: 734-287-1950    Fax: 734-287-1954

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.