Dr Matthew Edward Johnson, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Saint Charles, Missouri. He went to University Of Missouri, Columbia School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Ssm Medical Group Inc and his current practice location is
1475 Kisker Rd Ste 180, Saint Charles, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 442-7300.
Dr Matthew Edward Johnson is licensed to practice in Missouri (license number 2015001562) 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 1952612020.
Physician's Profile
| Full Name | Dr Matthew Edward Johnson |
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| Gender | Male |
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| Speciality | Radiation Oncology |
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| Experience | 15 Years |
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| Location | 1475 Kisker Rd Ste 180, Saint Charles, Missouri |
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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 Matthew Edward Johnson attended and graduated from University Of Missouri, Columbia School Of Medicine in 2010
NPI Data:
- NPI Number: 1952612020
- Provider Enumeration Date: 06/23/2010
- Last Update Date: 06/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486975430
- Enrollment ID: I20150603001193
Medical Identifiers
Medical identifiers for Dr Matthew Edward Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952612020 | NPI | - | NPPES |
| 1952612020 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0001X | Radiology - Radiation Oncology | 036140409 (Illinois) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | MD446623 (Pennsylvania) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 2015001562 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ssm Medical Group Inc | 6608776299 | 496 |
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 Matthew Edward Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Ssm Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700966207
PECOS PAC ID: 6608776299
Enrollment ID: O20040729001034 |
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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 Matthew Edward 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 |
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Dr Matthew Edward Johnson, MD
Po Box 955534,
Saint Louis, MO 63195-5534
Ph: () - | Dr Matthew Edward Johnson, MD
1475 Kisker Rd Ste 180,
Saint Charles, MO 63304-8786
Ph: (636) 442-7300 |
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