Timothy Samuel Johnson, MD is a medicare enrolled "Family Medicine" physician in Atkins, Arkansas. He went to University Of Oklahoma College Of Medicine and graduated in 1999 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Marys Physician Services Llc and his current practice location is
1601 N Church St, Atkins, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 641-2255.
Timothy Samuel Johnson is licensed to practice in Arkansas (license number E-3297) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023074119.
Physician's Profile
| Full Name | Timothy Samuel Johnson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 26 Years |
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| Location | 1601 N Church St, Atkins, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Timothy Samuel Johnson attended and graduated from University Of Oklahoma College Of Medicine in 1999
NPI Data:
- NPI Number: 1023074119
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 02/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 3375536303
- Enrollment ID: I20040406000815
Medical Identifiers
Medical identifiers for Timothy Samuel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023074119 | NPI | - | NPPES |
| 146729001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | E-3297 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Marys Physician Services Llc | 4981698032 | 63 |
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. Timothy Samuel Johnson allows following entities to bill medicare on his behalf.
| Entity Name | St Marys Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124084991
PECOS PAC ID: 4981698032
Enrollment ID: O20040609000759 |
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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. Timothy Samuel 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 |
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Timothy Samuel Johnson, MD
1601 N Church St,
Atkins, AR 72823-3234
Ph: (479) 641-2255 | Timothy Samuel Johnson, MD
1601 N Church St,
Atkins, AR 72823-3234
Ph: (479) 641-2255 |
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