Anthony David Johnson, is a medicare enrolled "Dermatology" in Bountiful, Utah. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Bahr Dermatology Pc and his current practice location is
460 S 200 W, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 298-1514.
Anthony David Johnson is licensed to practice in Utah (license number 7283004-1206) 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 1396230116.
Provider's Profile
| Full Name | Anthony David Johnson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 460 S 200 W, Bountiful, Utah |
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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:
- Anthony David Johnson graduated from nursing school in 2019
NPI Data:
- NPI Number: 1396230116
- Provider Enumeration Date: 06/25/2018
- Last Update Date: 09/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991124844
- Enrollment ID: I20200928001015
Medical Identifiers
Medical identifiers for Anthony David Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396230116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 7283004-1206 (Utah) | Secondary |
| 207N00000X | Dermatology | 7283004-1206 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bahr Dermatology Pc | 8921314485 | 3 |
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. Anthony David 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 |
|---|
Anthony David Johnson,
460 S 200 W,
Bountiful, UT 84010-7126
Ph: (801) 298-1514 | Anthony David Johnson,
460 S 200 W,
Bountiful, UT 84010-7126
Ph: (801) 298-1514 |
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