Dr Theodore Samuel Johnson, MD, PHD in Augusta, GA

Dr Theodore Samuel Johnson, MD, PHD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Augusta, Georgia. His current practice location is 1120 Fifteenth Street, Cn-4141a, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-3626.

Dr Theodore Samuel Johnson is licensed to practice in Georgia (license number 64115) 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 1255453759.

Contact Information

	Dr Theodore Samuel Johnson, MD, PHD
	1120 Fifteenth Street, Cn-4141a, Augusta, GA 30912
	(706) 721-3626
	(706) 721-4804

Map and Direction

Physician's Profile

Full Name	Dr Theodore Samuel Johnson
Gender	Male
Speciality	Pediatrics - Pediatric Hematology-oncology
Location	1120 Fifteenth Street, Cn-4141a, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255453759
Provider Enumeration Date: 04/04/2007
Last Update Date: 06/15/2017

Medicare PECOS Information:

PECOS PAC ID: 1658402839
Enrollment ID: I20100702000164

Medical Identifiers

Medical identifiers for Dr Theodore Samuel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255453759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0207X	Pediatrics - Pediatric Hematology-oncology	64115 (Georgia)	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 Theodore Samuel Johnson allows following entities to bill medicare on his behalf.

Entity Name	Au Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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 Theodore Samuel 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 Theodore Samuel Johnson, MD, PHD 1120 Fifteenth Street, Cn-4141a, Augusta, GA 30912 Ph: (706) 721-3626	Dr Theodore Samuel Johnson, MD, PHD 1120 Fifteenth Street, Cn-4141a, Augusta, GA 30912 Ph: (706) 721-3626

Reviews and Comments

Pediatrics Doctors in Augusta, GA

Kenny Esho, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 574-850-2999
Janelle Mcgill, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623
Kristen Beeler, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1446 Harper St, Augusta, GA 30912 Phone: 706-721-5437
Lorna Evorie Bell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941
Dr. William Weston Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 93 Bristlecone Ct., Augusta, GA 30909 Phone: 706-736-3704
Dr. Amanda Chaffin, Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-9442
Aaron W Hanna, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1245 Augusta West Pkwy, Augusta, GA 30909 Phone: 706-868-0389 Fax: 706-651-0729

Dr Theodore Samuel Johnson, MD, PHD - Medicare Pediatrics in Augusta, GA