Mr Benjamin Douglas Johnson, PA-C, RT (R) - Medicare Radiology Practitioner Assistant in Fairbanks, AK

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Mr Benjamin Douglas Johnson, PA-C, RT (R) is a medicare enrolled "Radiology Practitioner Assistant" physician in Fairbanks, Alaska. His current practice location is 1650 Cowles St, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 458-3900.

Mr Benjamin Douglas Johnson is licensed to practice in Alaska (license number 138210) 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 1821516345.

Contact Information

Mr Benjamin Douglas Johnson, PA-C, RT (R)
1650 Cowles St,
Fairbanks, AK 99701-5907
(907) 458-3900
Not Available

Map and Direction




Physician's Profile

Full NameMr Benjamin Douglas Johnson
GenderMale
SpecialityRadiology Practitioner Assistant
Location1650 Cowles St, Fairbanks, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821516345
  • Provider Enumeration Date: 09/05/2017
  • Last Update Date: 10/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214276948
  • Enrollment ID: I20190225001593

Medical Identifiers

Medical identifiers for Mr Benjamin Douglas Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821516345NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 138210 (Alaska)Secondary
207X00000XOrthopaedic Surgery 1760938021 (Alaska)Secondary
2085R0203XRadiology - Therapeutic Radiology 138210 (Alaska)Secondary
243U00000XRadiology Practitioner Assistant 138210 (Alaska)Primary

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. Mr Benjamin Douglas 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 AddressPractice Location Address
Mr Benjamin Douglas Johnson, PA-C, RT (R)
4311 11th Ave Ne Ste 200,
Seattle, WA 98105-6367

Ph: () -		Mr Benjamin Douglas Johnson, PA-C, RT (R)
1650 Cowles St,
Fairbanks, AK 99701-5907

Ph: (907) 458-3900

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.