Dr Johnson Diaz Dellosa, MD is a medicare enrolled "Family Medicine" physician in Alvarado, Texas. His current practice location is
515 East Highway 67, Alvarado, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 783-2318.
Dr Johnson Diaz Dellosa is licensed to practice in Texas (license number M3516) 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 1386696136.
Physician's Profile
| Full Name | Dr Johnson Diaz Dellosa |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 515 East Highway 67, Alvarado, Texas |
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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 Johnson Diaz Dellosa attended and graduated from in
NPI Data:
- NPI Number: 1386696136
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 05/30/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Johnson Diaz Dellosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386696136 | NPI | - | NPPES |
| 8AS312 | Other | TX | BCBS |
| 1386696136 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | M3516 (Texas) | Primary |
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 Johnson Diaz Dellosa 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 Johnson Diaz Dellosa, MD
Po Box 6278,
Fort Worth, TX 76115-0278
Ph: () - | Dr Johnson Diaz Dellosa, MD
515 East Highway 67,
Alvarado, TX 76009
Ph: (817) 783-2318 |
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