Dr Thomas G Johnson, MD is a
Family Medicine physician based in Fountain, Colorado. Dr Thomas G Johnson is licensed to practice in Colorado (license number 27569) and his current practice location is 5115 Fontaine Blvd, Fountain, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 392-2000.
NPI number for Dr Thomas G Johnson is 1053370650 and his current mailing address is 5115 Fontaine Blvd, Fountain, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053370650.
Physician's Profile
| Full Name | Dr Thomas G Johnson |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 5115 Fontaine Blvd, Fountain, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053370650
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 08/09/2011
Medical Identifiers
Medical identifiers for Dr Thomas G Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053370650 | NPI | - | NPPES |
| 01275692 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 27569 (Colorado) | 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 Thomas G Johnson 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 Thomas G Johnson, MD
5115 Fontaine Blvd,
Fountain, CO 80817-1061
Ph: (719) 392-2000 | Dr Thomas G Johnson, MD
5115 Fontaine Blvd,
Fountain, CO 80817-1061
Ph: (719) 392-2000 |
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