Paul M Johnson, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Daytona Beach, Florida. His current practice location is
311 N Clyde Morris Blvd, Daytona Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 425-4267.
Paul M Johnson is licensed to practice in Florida (license number ME160203) 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 1780767616.
Physician's Profile
| Full Name | Paul M Johnson |
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| Gender | Male |
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| Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
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| Location | 311 N Clyde Morris Blvd, Daytona Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780767616
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 12/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911916895
- Enrollment ID: I20160929001606
Medical Identifiers
Medical identifiers for Paul M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780767616 | NPI | - | NPPES |
| 000093475 | Other | MT | BLUE CROSS |
| 080192535 | Other | | RAILROAD MEDICARE |
| 0058327 | Medicaid | MT | |
| 12219 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | ME160203 (Florida) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | ME160203 (Florida) | 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. Paul M Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Hospital Of Devils Lake |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790751170
PECOS PAC ID: 9537128681
Enrollment ID: O20041005001141 |
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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. Paul M 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 |
|---|
Paul M Johnson, MD
1401 25th St S,
Great Falls, MT 59405-6010
Ph: (406) 731-8888 | Paul M Johnson, MD
311 N Clyde Morris Blvd,
Daytona Beach, FL 32114-2781
Ph: (386) 425-4267 |
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