Dr John William Johnson, MD in Fayetteville, AR - Medicare Student in an Organized Health Care Education/Training Program

Dr John William Johnson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fayetteville, Arkansas. His current practice location is 2907 E Joyce Blvd, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 521-8260.

Dr John William Johnson is licensed to practice in * (Not Available) (license number ) 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 1730354333.

Contact Information

	Dr John William Johnson, MD
	2907 E Joyce Blvd, Fayetteville, AR 72703-5011
	(479) 521-8260
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr John William Johnson
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	2907 E Joyce Blvd, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730354333
Provider Enumeration Date: 04/24/2008
Last Update Date: 05/12/2011

Medicare PECOS Information:

PECOS PAC ID: 5698806891
Enrollment ID: I20100702000362

Medical Identifiers

Medical identifiers for Dr John William Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730354333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	E-6033 (Arkansas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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 John William Johnson allows following entities to bill medicare on his behalf.

Entity Name	South Arkansas Emergency Physicians Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942435458 PECOS PAC ID: 4486705720 Enrollment ID: O20090629000005

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 John William 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 John William Johnson, MD 21952 Richland View Rd, Elkins, AR 72727-8641 Ph: (870) 275-0320	Dr John William Johnson, MD 2907 E Joyce Blvd, Fayetteville, AR 72703-5011 Ph: (479) 521-8260

Dr John William Johnson, MD - Medicare Student in an Organized Health Care Education/Training Program in Fayetteville, AR