Jaclyn Johnson, - Medicare Optometrist in Surprise, AZ

Jaclyn Johnson, is a medicare enrolled "Optometrist" provider in Surprise, Arizona. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Barnet Dulaney Perkins Eye Center, Pc and her current practice location is 14239 W Bell Rd Ste 216, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 955-1000.

Jaclyn Johnson is licensed to practice in Colorado (license number OPT.0003337) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700300373.

Contact Information

Jaclyn Johnson,
14239 W Bell Rd Ste 216,
Surprise, AZ 85374-2482
(602) 955-1000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJaclyn Johnson
GenderFemale
SpecialityOptometry
Experience7 Years
Location14239 W Bell Rd Ste 216, Surprise, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jaclyn Johnson graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1700300373
  • Provider Enumeration Date: 07/26/2017
  • Last Update Date: 11/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1153672464
  • Enrollment ID: I20180926001350

Medical Identifiers

Medical identifiers for Jaclyn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700300373NPI-NPPES
418504MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT.0003337 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Barnet Dulaney Perkins Eye Center, Pc074928829894

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. Jaclyn Johnson allows following entities to bill medicare on her behalf.
Provider NameBarnet Dulaney Perkins Eye Center, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1376574707
PECOS PAC ID: 0749288298
Enrollment ID: O20061117000349

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. Jaclyn 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
Jaclyn Johnson,
4129 S Meadows Rd Apt 1628,
Santa Fe, NM 87507-2719

Ph: () -
Jaclyn Johnson,
14239 W Bell Rd Ste 216,
Surprise, AZ 85374-2482

Ph: (602) 955-1000

Reviews and Comments


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Dr. Paige Renae Blom, OD
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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.