Dr Millard E Johnson, MD in Modesto, CA

Dr Millard E Johnson, MD is a medicare enrolled "Pediatrics" physician in Modesto, California. His current practice location is 1510 Florida Ave, Suite F, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 549-7090.

Dr Millard E Johnson is licensed to practice in California (license number A62787) 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 1730162892.

Contact Information

	Dr Millard E Johnson, MD
	1510 Florida Ave, Suite F, Modesto, CA 95350-4437
	(209) 549-7090
	(209) 549-7099

Map and Direction

Physician's Profile

Full Name	Dr Millard E Johnson
Gender	Male
Speciality	Pediatrics
Location	1510 Florida Ave, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730162892
Provider Enumeration Date: 11/22/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7214824937
Enrollment ID: I20140401001304

Medical Identifiers

Medical identifiers for Dr Millard E Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730162892	NPI	-	NPPES
061924	Other	CA	BOARD CERT #
00A627870	Other	CA	BLUE SHIELD OF CA PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A62787 (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 Millard E Johnson allows following entities to bill medicare on his behalf.

Entity Name	Golden Valley Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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 Millard E 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 Millard E Johnson, MD 737 W Childs Ave, Merced, CA 95340-6805 Ph: (209) 385-5529	Dr Millard E Johnson, MD 1510 Florida Ave, Suite F, Modesto, CA 95350-4437 Ph: (209) 549-7090

Reviews and Comments

Pediatrics Doctors in Modesto, CA

Charnjeet K Randhawa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000 Fax: 559-459-4569
Chaithra Sreenath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 Paradise Rd Ste E102, Modesto, CA 95351 Phone: 209-558-4000
Mohamed Ashkar, Pediatrics Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Modesto, CA 95350 Phone: 209-722-4842
Lee T Donohue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408
Angela I Lin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1144 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4744
Miss Donna Silva, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4120 Prescott Rd, Modesto, CA 95356 Phone: 209-544-7300 Fax: 209-544-7323
Dr. Mary Jessie Sumithra, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4125 Bangs Ave, Modesto, CA 95356 Phone: 209-557-1630

Dr Millard E Johnson, MD - Medicare Pediatrics in Modesto, CA