Zackery Johnson, DO - Medicare Emergency Medicine in Ronceverte, WV

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Zackery Johnson, DO is a medicare enrolled "Emergency Medicine" physician in Ronceverte, West Virginia. His current practice location is 1320 Maplewood Ave, Ronceverte, West Virginia. You can reach out to his office (for appointments etc.) via phone at (043) 647-4411.

Zackery Johnson is licensed to practice in West Virginia (license number 4395) 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 1407430721.

Contact Information

Zackery Johnson, DO
1320 Maplewood Ave,
Ronceverte, WV 24970-8016
(043) 647-4411
Not Available

Map and Direction




Physician's Profile

Full NameZackery Johnson
GenderMale
SpecialityEmergency Medicine
Location1320 Maplewood Ave, Ronceverte, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407430721
  • Provider Enumeration Date: 05/12/2021
  • Last Update Date: 09/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123421922
  • Enrollment ID: I20230714003612

Medical Identifiers

Medical identifiers for Zackery Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407430721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OT020569 (Pennsylvania)Secondary
207P00000XEmergency Medicine 4395 (West Virginia)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. Zackery Johnson allows following entities to bill medicare on his behalf.
Entity NameDlp Conemaugh Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932515905
PECOS PAC ID: 7315166949
Enrollment ID: O20140915002522
Entity NameNason Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306236609
PECOS PAC ID: 5890012728
Enrollment ID: O20150402000491
Entity NameDlp Conemaugh Miners Medical Center Llc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1184620486
PECOS PAC ID: 2860612439
Enrollment ID: O20200205002348
Entity NameDlp Conemaugh Meyersdale Medical Center, Llc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1659376358
PECOS PAC ID: 0446470041
Enrollment ID: O20201102000630

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. Zackery 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 AddressPractice Location Address
Zackery Johnson, DO
400 Association Dr Ste 102,
Charleston, WV 25311-1298

Ph: (304) 388-1724		Zackery Johnson, DO
1320 Maplewood Ave,
Ronceverte, WV 24970-8016

Ph: (043) 647-4411

Reviews and Comments


Emergency Medicine Doctors in Ronceverte, WV

Joseph Scott Langford, MD
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1320 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-793-2220    Fax: 304-793-2277
Mr. Tom A Sayvetz, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 202 Maplewood Ave, Greenbrier Valley Medical Center, Ronceverte, WV 24970
Phone: 304-647-4411    Fax: 304-647-6064
Suzan R Myles, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 202 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-647-4411    
Dr. Alexis Marco Rodriguez, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1320 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-793-2220    Fax: 304-793-2277

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.