Greg R Johnson, DO in Fort Wayne, IN - Medicare Internal Medicine

Greg R Johnson, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Fort Wayne, Indiana. His current practice location is 3909 New Vision Dr, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 469-6602.

Greg R Johnson is licensed to practice in Indiana (license number 02001531A) 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 1013960269.

Contact Information

	Greg R Johnson, DO
	3909 New Vision Dr, Fort Wayne, IN 46845-1725
	(260) 469-6602
	(260) 969-3065

Map and Direction

Physician's Profile

Full Name	Greg R Johnson
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	3909 New Vision 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: 1013960269
Provider Enumeration Date: 05/18/2006
Last Update Date: 12/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7911987102
Enrollment ID: I20100928001695

Medical Identifiers

Medical identifiers for Greg R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013960269	NPI	-	NPPES
000000675115	Other	IN	ANTHEM
200015220	Medicaid	IN
P00895098	Other	IN	R.R. MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	02001531A (Indiana)	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. Greg R 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

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. Greg R 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
Greg R Johnson, DO 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Greg R Johnson, DO 3909 New Vision Dr, Fort Wayne, IN 46845-1725 Ph: (260) 469-6602

Reviews and Comments

Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910
Ahmad Alhariri, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020
Dr. Anuradha G Bommakanti, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Eileen Jill Ramos Muzzillo, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605
John T Ducker, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188
Mr. Kenneth A Smith, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255
Dr. Carl Marc Williams, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740

Greg R Johnson, DO - Medicare Internal Medicine in Fort Wayne, IN