Dr Tyler Guthrie Johnson, DO in Fort Wayne, IN

Dr Tyler Guthrie Johnson, DO is a medicare enrolled "Emergency Medicine" physician in Fort Wayne, Indiana. His current practice location is 2200 Randallia Dr, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 373-4000.

Dr Tyler Guthrie Johnson is licensed to practice in Indiana (license number 02003913A) 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 1578798757.

Contact Information

	Dr Tyler Guthrie Johnson, DO
	2200 Randallia Dr, Fort Wayne, IN 46805-4638
	(260) 373-4000
	(260) 482-4442

Map and Direction

Physician's Profile

Full Name	Dr Tyler Guthrie Johnson
Gender	Male
Speciality	Emergency Medicine
Location	2200 Randallia Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578798757
Provider Enumeration Date: 05/18/2009
Last Update Date: 03/16/2016

Medicare PECOS Information:

PECOS PAC ID: 6608040936
Enrollment ID: I20111122000408

Medical Identifiers

Medical identifiers for Dr Tyler Guthrie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578798757	NPI	-	NPPES
M400058749	Other	IN	MEDICARE WPS CMS
201040270	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5101018131 (Michigan)	Secondary
207P00000X	Emergency Medicine	02003913A (Indiana)	Primary
390200000X	Student In An Organized Health Care Education/training Program	5101018131 (Michigan)	Secondary

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 Tyler Guthrie Johnson allows following entities to bill medicare on his behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

Entity Name	Professional Emergency Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999

Entity Name	Parkview Wabash Hospital Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1245259878 PECOS PAC ID: 0244553360 Enrollment ID: O20141222002050

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 Tyler Guthrie 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 Tyler Guthrie Johnson, DO 3640 New Vision Dr, Suite A, Fort Wayne, IN 46845-1717 Ph: (260) 482-4440	Dr Tyler Guthrie Johnson, DO 2200 Randallia Dr, Fort Wayne, IN 46805-4638 Ph: (260) 373-4000

Reviews and Comments

Emergency Medicine Doctors in Fort Wayne, IN

Dr. Danyelle R Aber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000
Amy Souers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000
Aeden J Ligon, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9216 Crystal Spring Dr, Fort Wayne, IN 46804 Phone: 765-480-9828
Albert V Emilian, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10343 Dawsons Creek Blvd, Suite A, Fort Wayne, IN 46825 Phone: 260-203-9600 Fax: 260-739-6167
Dr. Janardhanan V Davy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd Ste 2121, Fort Wayne, IN 46804 Phone: 260-435-2937
Dr. Elmer Toliver, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431
Bruce Sowers, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001

Dr Tyler Guthrie Johnson, DO - Medicare Emergency Medicine in Fort Wayne, IN