Mariah Johnson, MD in Portland, OR - Medicare Dermatology

Mariah Johnson, MD is a medicare enrolled "Dermatology" physician in Portland, Oregon. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Mountain West Derm - Blackhart Pllc and her current practice location is 3303 Sw Bond Ave # 16d, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 418-3376.

Mariah Johnson is licensed to practice in Oregon (license number 187670) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578975991.

Contact Information

	Mariah Johnson, MD
	3303 Sw Bond Ave # 16d, Portland, OR 97239
	(503) 418-3376
	Not Available

Map and Direction

Physician's Profile

Full Name	Mariah Johnson
Gender	Female
Speciality	Dermatology
Experience	10 Years
Location	3303 Sw Bond Ave # 16d, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mariah Johnson graduated from medical school in 2014

NPI Data:

NPI Number: 1578975991
Provider Enumeration Date: 05/21/2014
Last Update Date: 08/27/2018

Medicare PECOS Information:

PECOS PAC ID: 4981912235
Enrollment ID: I20180626001333

Medical Identifiers

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

Identifier	Type	State	Issuer
1578975991	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	187670 (Oregon)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ohsu Hospital And Clinics	Portland, OR	Hospital
St Charles Medical Center - Bend	Bend, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain West Derm - Blackhart Pllc	1153609813	105

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. Mariah Johnson allows following entities to bill medicare on her behalf.

Entity Name	Mountain West Derm - Blackhart Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447764741 PECOS PAC ID: 1153609813 Enrollment ID: O20171219002516

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. Mariah 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
Mariah Johnson, MD 3303 Sw Bond Ave # 16d, Portland, OR 97239-4501 Ph: (503) 418-3376	Mariah Johnson, MD 3303 Sw Bond Ave # 16d, Portland, OR 97239 Ph: (503) 418-3376

Reviews and Comments

Dermatology Doctors in Portland, OR

Dr. Alison Marie Small, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 3303 Sw Bond Ave, Portland, OR 97239 Phone: 503-418-3376
Milie Fang, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3303 S Bond Ave Dept, Portland, OR 97239 Phone: 503-494-1375
Bert G Tavelli, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2525 Nw Lovejoy St Ste 400, Portland, OR 97210 Phone: 503-223-1933 Fax: 503-223-1947
Natasha Fewkes Carter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4914 Sw 1st Ave, Portland, OR 97239 Phone: 310-701-8274
Dr. Samuel Fritz Bremmer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211
Oluwadamilare Olalekan Ajayi, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3303 S Bond Ave, Portland, OR 97239 Phone: 503-418-3376 Fax: 503-494-6968
Diane Romayne Baker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9495 Sw Locust St Ste A&e, Portland, OR 97223 Phone: 503-471-0500 Fax: 503-471-0504

Mariah Johnson, MD - Medicare Dermatology in Portland, OR