Jerry C Johnson, MD in Philadelphia, PA - Medicare Internal Medicine

Jerry C Johnson, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Philadelphia, Pennsylvania. His current practice location is 3615 Chestnut St, Ralston Penn Center, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-2746.

Jerry C Johnson is licensed to practice in Pennsylvania (license number MD019829E) 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 1669415972.

Contact Information

	Jerry C Johnson, MD
	3615 Chestnut St, Ralston Penn Center, Philadelphia, PA 19104
	(215) 662-2746
	(215) 349-5648

Map and Direction

Physician's Profile

Full Name	Jerry C Johnson
Gender	Male
Speciality	Internal Medicine - Geriatric Medicine
Location	3615 Chestnut St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669415972
Provider Enumeration Date: 06/14/2006
Last Update Date: 03/23/2012

Medicare PECOS Information:

PECOS PAC ID: 2264568708
Enrollment ID: I20100412000016

Medical Identifiers

Medical identifiers for Jerry C Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669415972	NPI	-	NPPES
0007361000007	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	MD019829E (Pennsylvania)	Primary
207R00000X	Internal Medicine	MD019829E (Pennsylvania)	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. Jerry C Johnson allows following entities to bill medicare on his behalf.

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497767495 PECOS PAC ID: 6204730955 Enrollment ID: O20141120002039

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. Jerry C 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
Jerry C Johnson, MD 3615 Chestnut St, Ralston Penn Center, Philadelphia, PA 19104-2612 Ph: (215) 662-2746	Jerry C Johnson, MD 3615 Chestnut St, Ralston Penn Center, Philadelphia, PA 19104 Ph: (215) 662-2746

Reviews and Comments

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Dr. Robert Burke, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Philadelphia, PA 19104 Phone: 215-662-9436 Fax: 215-243-3208
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Dr. Jason Thomas Ackrivo, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-614-0871

Jerry C Johnson, MD - Medicare Internal Medicine in Philadelphia, PA