Dr Johnnie Ham, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Shell Beach, California. His current practice location is
1677 Shell Beach Rd Ste 101, Shell Beach, California. You can reach out to his office (for appointments etc.) via phone at
(805) 201-9135.
Dr Johnnie Ham is licensed to practice in California (license number A90443) 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 1982687430.
Physician's Profile
| Full Name | Dr Johnnie Ham |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1677 Shell Beach Rd Ste 101, Shell Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982687430
- Provider Enumeration Date: 11/29/2005
- Last Update Date: 04/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 5193807790
- Enrollment ID: I20080204000503
Medical Identifiers
Medical identifiers for Dr Johnnie Ham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982687430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | A90443 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | A90443 (California) | 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 Johnnie Ham allows following entities to bill medicare on his behalf.
| Entity Name | Coastal Prestige Medical Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518101989
PECOS PAC ID: 9335299304
Enrollment ID: O20090612000292 |
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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 Johnnie Ham 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 Johnnie Ham, MD
1677 Shell Beach Rd Ste 101,
Shell Beach, CA 93449-1930
Ph: (805) 201-9135 | Dr Johnnie Ham, MD
1677 Shell Beach Rd Ste 101,
Shell Beach, CA 93449-1930
Ph: (805) 201-9135 |
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