Mark Johnson, MD in Southbury, CT

Mark Johnson, MD is a medicare enrolled "Radiology - Diagnostic Ultrasound" physician in Southbury, Connecticut. His current practice location is 385 Main St South, Union Square, Southbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 264-7999.

Mark Johnson is licensed to practice in Connecticut (license number 022134) 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 1780618694.

Contact Information

	Mark Johnson, MD
	385 Main St South, Union Square, Southbury, CT 06488
	(203) 264-7999
	(203) 264-7477

Map and Direction

Physician's Profile

Full Name	Mark Johnson
Gender	Male
Speciality	Radiology - Diagnostic Ultrasound
Location	385 Main St South, Southbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780618694
Provider Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0446141188
Enrollment ID: I20040324001172

Medical Identifiers

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

Identifier	Type	State	Issuer
1780618694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085N0904X	Radiology - Nuclear Radiology	022134 (Connecticut)	Primary
2085R0202X	Radiology - Diagnostic Radiology	022134 (Connecticut)	Primary
2085U0001X	Radiology - Diagnostic Ultrasound	022134 (Connecticut)	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. Mark Johnson allows following entities to bill medicare on his behalf.

Entity Name	Diagnostic Imaging Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336161918 PECOS PAC ID: 0143127241 Enrollment ID: O20031217000292

Entity Name	Prospect Diagnostic Imaging
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154343739 PECOS PAC ID: 0244137214 Enrollment ID: O20031217000697

Entity Name	Naugatuck Valley Mri Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134141716 PECOS PAC ID: 2668367756 Enrollment ID: O20040218000127

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. Mark 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
Mark Johnson, MD 385 Main St South, Union Square Bldg #1, Southbury, CT 06488 Ph: (203) 264-7999	Mark Johnson, MD 385 Main St South, Union Square, Southbury, CT 06488 Ph: (203) 264-7999

Reviews and Comments

Radiology Doctors in Southbury, CT

Dr. George Jeffrey Gavern, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: Nvra Business Office, 385 Main St South, Southbury, CT 06488 Phone: 203-264-7999 Fax: 203-264-7477
Matthew Bushey, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 385 Main St South, Union Square, Southbury, CT 06488 Phone: 203-264-7999 Fax: 203-264-7477
Michael Malin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 385 Main St S, Union Square, Southbury, CT 06488 Phone: 203-264-7999 Fax: 203-264-7477
Robert Gumbardo, MD Radiology Medicare: Medicare Enrolled Practice Location: 385 Main St South, Union Square, Southbury, CT 06488 Phone: 203-264-7999 Fax: 203-264-7477
Laura A. Kaplan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 385 Main St S, Southbury, CT 06488 Phone: 203-264-7999
Mahadevan Shetty, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 385 Main St S,, C/o Nvra Union Square Bldg#1, Southbury, CT 06488 Phone: 203-264-7999 Fax: 203-264-7477
Gregory Gersten, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 385 Main St S, Union Square, Southbury, CT 06488 Phone: 203-264-7999 Fax: 203-264-7477

Mark Johnson, MD - Medicare Radiology in Southbury, CT