Robert Dale Johnson, MD is a
Radiology - Diagnostic Radiology physician based in Berlin, Vermont. Robert Dale Johnson is licensed to practice in Vermont (license number 042-0005945) and his current practice location is 130 Fisher Rd, Central Vermont Hospital, Berlin, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 371-4249.
NPI number for Robert Dale Johnson is 1497846067 and his current mailing address is 2759 Crosstown Rd, Berlin, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497846067.
Physician's Profile
Full Name | Robert Dale Johnson |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 130 Fisher Rd, Berlin, Vermont |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497846067
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 09/01/2013
Medical Identifiers
Medical identifiers for Robert Dale Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497846067 | NPI | - | NPPES |
0005065 | Medicaid | VT | |
00005065 | Other | VT | BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085B0100X | Radiology - Body Imaging | 042-0005945 (Vermont) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 042-0005945 (Vermont) | Primary |
2085U0001X | Radiology - Diagnostic Ultrasound | 042-0005945 (Vermont) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 042-0005945 (Vermont) | Secondary |
2085N0904X | Radiology - Nuclear Radiology | 042-0005945 (Vermont) | Secondary |
2085N0700X | Radiology - Neuroradiology | 042-0005945 (Vermont) | Secondary |
2085P0229X | Radiology - Pediatric Radiology | 042-0005945 (Vermont) | Secondary |
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. Robert Dale 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 |
Robert Dale Johnson, MD 2759 Crosstown Rd, Berlin, VT 05602-9036 Ph: (802) 223-5122 | Robert Dale Johnson, MD 130 Fisher Rd, Central Vermont Hospital, Berlin, VT 05602-9516 Ph: (802) 371-4249 |
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