Dr Juantina Mechelle Johnson, MD is a medicare enrolled "Family Medicine" physician in Choctaw, Mississippi. Her current practice location is
210 Hospital Cir, Choctaw, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 389-6302.
Dr Juantina Mechelle Johnson is licensed to practice in Mississippi (license number 21445) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285683342.
Physician's Profile
Full Name | Dr Juantina Mechelle Johnson |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 210 Hospital Cir, Choctaw, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285683342
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 04/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 7618975871
- Enrollment ID: I20110802000548
Medical Identifiers
Medical identifiers for Dr Juantina Mechelle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285683342 | NPI | - | NPPES |
01504386 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | MD026588 (Louisiana) | Secondary |
207P00000X | Emergency Medicine | 21445 (Mississippi) | Secondary |
207Q00000X | Family Medicine | 21445 (Mississippi) | 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 Juantina Mechelle Johnson allows following entities to bill medicare on her behalf.
Entity Name | Anderson Physician Alliance Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760798227 PECOS PAC ID: 3274727318 Enrollment ID: O20101102000877 |
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Entity Name | Medical Services Of Meridian Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174095988 PECOS PAC ID: 7315285376 Enrollment ID: O20190218000483 |
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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 Juantina Mechelle 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 Juantina Mechelle Johnson, MD 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 389-6302 | Dr Juantina Mechelle Johnson, MD 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 389-6302 |
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