Dr Peter Shivers Johnston, MD is a
Internal Medicine - Endocrinology, Diabetes & Metabolism physician based in Barryville, New York. Dr Peter Shivers Johnston is licensed to practice in Connecticut (license number 032117) and his current practice location is 10 Kodiak Road, P.o. Box 67, Barryville, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 557-0456.
NPI number for Dr Peter Shivers Johnston is 1770897068 and his current mailing address is 412 Morris Ave, Apt 18, Summit, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770897068.
Physician's Profile
Full Name | Dr Peter Shivers Johnston |
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Gender | Male |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
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Location | 10 Kodiak Road, Barryville, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770897068
- Provider Enumeration Date: 07/29/2010
- Last Update Date: 03/04/2019
Medical Identifiers
Medical identifiers for Dr Peter Shivers Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770897068 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 032117 (Connecticut) | 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 Peter Shivers Johnston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Peter Shivers Johnston, MD 412 Morris Ave, Apt 18, Summit, NJ 07901-1577 Ph: (908) 598-9546 | Dr Peter Shivers Johnston, MD 10 Kodiak Road, P.o. Box 67, Barryville, NY 12719 Ph: (845) 557-0456 |
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