Mrs Carolyn Jean Johnson, MD is a
Family Medicine physician based in Tsaile, Arizona. Mrs Carolyn Jean Johnson is licensed to practice in Colorado (license number 39380) and her current practice location is Navajo Route 64, Tsaile, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 724-3600.
NPI number for Mrs Carolyn Jean Johnson is 1073697447 and her current mailing address is Po Drawer Ph, Chinle, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073697447.
Physician's Profile
| Full Name | Mrs Carolyn Jean Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
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| Location | Navajo Route 64, Tsaile, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073697447
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 09/15/2011
Medical Identifiers
Medical identifiers for Mrs Carolyn Jean Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073697447 | NPI | - | NPPES |
| 91086678 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 39380 (Colorado) | 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. Mrs Carolyn Jean Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Carolyn Jean Johnson, MD
Po Drawer Ph,
Chinle, AZ 86503
Ph: (928) 674-7166 | Mrs Carolyn Jean Johnson, MD
Navajo Route 64,
Tsaile, AZ 86556
Ph: (928) 724-3600 |
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