Nicholas Bradford Johnson, in Idaho Falls, ID - Medicare Plastic And Reconstructive Surgery

Nicholas Bradford Johnson, is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Idaho Falls, Idaho. He went to St. Louis College Of Physicians And Surgeons and graduated in 2010 and has 14 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Steele Lake Specialty Pllc and his current practice location is 3200 Channing Way Ste 206, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 529-2230.

Nicholas Bradford Johnson is licensed to practice in Idaho (license number M-14721) 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 1578850210.

Contact Information

	Nicholas Bradford Johnson,
	3200 Channing Way Ste 206, Idaho Falls, ID 83404-7546
	(208) 529-2230
	(208) 453-6142

Map and Direction

Physician's Profile

Full Name	Nicholas Bradford Johnson
Gender	Male
Speciality	Plastic And Reconstructive Surgery
Experience	14 Years
Location	3200 Channing Way Ste 206, Idaho Falls, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas Bradford Johnson attended and graduated from St. Louis College Of Physicians And Surgeons in 2010

NPI Data:

NPI Number: 1578850210
Provider Enumeration Date: 07/01/2011
Last Update Date: 02/28/2024

Medicare PECOS Information:

PECOS PAC ID: 2860783404
Enrollment ID: I20190927000381

Medical Identifiers

Medical identifiers for Nicholas Bradford Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578850210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	M-14721 (Idaho)	Secondary
208200000X	Plastic Surgery	83999 (Georgia)	Secondary
208200000X	Plastic Surgery	01076429A (Indiana)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	M-14721 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastern Idaho Regional Medical Center	Idaho falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Steele Lake Specialty Pllc	1153774567	8

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. Nicholas Bradford Johnson allows following entities to bill medicare on his behalf.

Entity Name	Steele Lake Specialty Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215716998 PECOS PAC ID: 1153774567 Enrollment ID: O20240201000040

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. Nicholas Bradford 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
Nicholas Bradford Johnson, Po Box 277381, Atlanta, GA 30384-7381 Ph: (208) 529-2230	Nicholas Bradford Johnson, 3200 Channing Way Ste 206, Idaho Falls, ID 83404-7546 Ph: (208) 529-2230

Reviews and Comments

Surgery Doctors in Idaho Falls, ID

Warren E Albrecht, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave Ste 200, Idaho Falls, ID 83404 Phone: 208-528-1000 Fax: 208-528-1900
Brad D Smith, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2805 Valencia Dr, Idaho Falls, ID 83404 Phone: 208-552-3184 Fax: 208-525-6151
Dr. Gregory R. Hodson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2225 Teton Plz, Ste B, Idaho Falls, ID 83404 Phone: 208-524-4660 Fax: 208-524-4617
Chaheyla St Aubin, DO Surgery Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4000
Dr. John Garth Oliver Miller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2327 Coronado St Fl 2, Idaho Falls, ID 83404 Phone: 208-528-1750
Dr. Michael Kirk Moore Jr., M.D., P.C. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 213, Idaho Falls, ID 83404 Phone: 208-552-1406 Fax: 208-552-1416
Bruce James Watkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3369 Merlin Dr Ste B, Idaho Falls, ID 83404 Phone: 844-919-4263 Fax: 833-513-0980

Nicholas Bradford Johnson, - Medicare Plastic And Reconstructive Surgery in Idaho Falls, ID