Sandra Diane Johnson, MD in Fairhaven, MA

Sandra Diane Johnson, MD is a medicare enrolled "Family Medicine" physician in Fairhaven, Massachusetts. Her current practice location is 208 Mill Road, Fairhaven, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 973-2432.

Sandra Diane Johnson is licensed to practice in Massachusetts (license number 231054) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639153596.

Contact Information

	Sandra Diane Johnson, MD
	208 Mill Road, Fairhaven, MA 02719-5252
	(508) 973-2432
	(508) 973-2435

Map and Direction

Physician's Profile

Full Name	Sandra Diane Johnson
Gender	Female
Speciality	Family Medicine
Location	208 Mill Road, Fairhaven, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639153596
Provider Enumeration Date: 12/05/2005
Last Update Date: 04/22/2020

Medicare PECOS Information:

PECOS PAC ID: 3779561675
Enrollment ID: I20040716000644

Medical Identifiers

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

Identifier	Type	State	Issuer
1639153596	NPI	-	NPPES
7056488	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD11384 (Rhode Island)	Secondary
207Q00000X	Family Medicine	231054 (Massachusetts)	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. Sandra Diane Johnson allows following entities to bill medicare on her behalf.

Entity Name	Southcoast Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20050502000716

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. Sandra Diane 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
Sandra Diane Johnson, MD 200 Mill Rd, Suite 180, Fairhaven, MA 02719-5252 Ph: (508) 973-2000	Sandra Diane Johnson, MD 208 Mill Road, Fairhaven, MA 02719-5252 Ph: (508) 973-2432

Reviews and Comments

Family Medicine Doctors in Fairhaven, MA

Dr. Valentina Dacunha, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-996-1800 Fax: 508-992-7906
Dr. Joseph A Costa, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-758-3781 Fax: 508-758-4455
Jaimie L. Reed, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-758-3781 Fax: 508-758-4455
Dr. Drew L Nahigyan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-758-3781 Fax: 508-758-4455

Sandra Diane Johnson, MD - Medicare Family Medicine in Fairhaven, MA