Mr Clyde W Johnson, PT, CHT in Bellevue, WA - Medicare Physical Therapy Provider

Mr Clyde W Johnson, PT, CHT is a medicare enrolled "Physical Therapist - Hand" provider in Bellevue, Washington. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Proliance Surgeons Inc Ps and his current practice location is 3101 Northup Way Ste 301, Bellevue, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 462-5006.

Mr Clyde W Johnson is licensed to practice in Washington (license number PT00005729) 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 1962579375.

Contact Information

	Mr Clyde W Johnson, PT, CHT
	3101 Northup Way Ste 301, Bellevue, WA 98004-1449
	(425) 462-5006
	(425) 462-5019

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Clyde W Johnson
Gender	Male
Speciality	Physical Therapy
Experience	33 Years
Location	3101 Northup Way Ste 301, Bellevue, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Clyde W Johnson graduated from medical school in 1991

NPI Data:

NPI Number: 1962579375
Provider Enumeration Date: 11/29/2006
Last Update Date: 02/22/2023

Medicare PECOS Information:

PECOS PAC ID: 9032217435
Enrollment ID: I20070608000178

Medical Identifiers

Medical identifiers for Mr Clyde W Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962579375	NPI	-	NPPES
1023366	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT00005729 (Washington)	Secondary
2251H1200X	Physical Therapist - Hand	PT00005729 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Proliance Surgeons Inc Ps	8527972900	358

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. Mr Clyde W Johnson allows following entities to bill medicare on his behalf.

Provider Name	Proliance Surgeons Inc Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128

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. Mr Clyde W 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
Mr Clyde W Johnson, PT, CHT 510 8th Ave Ne Ste 320, Issaquah, WA 98029-5436 Ph: (425) 462-5006	Mr Clyde W Johnson, PT, CHT 3101 Northup Way Ste 301, Bellevue, WA 98004-1449 Ph: (425) 462-5006

Reviews and Comments

Physical Therapist in Bellevue, WA

Kay Wieben, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1035 116th Ave Ne, Bellevue, WA 98004 Phone: 425-688-5860
Mike B Hearron, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1188 106th Ave Ne, Suite 100, Bellevue, WA 98004 Phone: 425-455-2630 Fax: 425-451-4390
Olympic Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1188 106th Ave Ne, Suite 100, Bellevue, WA 98004 Phone: 425-455-2630 Fax: 425-646-3901
Julie L Lampson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1188 106th Ave Ne, Suite 100, Bellevue, WA 98004 Phone: 425-455-2630 Fax: 425-451-4390
Ms. Lynne Maureen Robinson, PT, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12432 Se 25th Pl, Bellevue, WA 98005 Phone: 425-445-2767 Fax: 425-641-1005
Jessica Elizabeth Digiacomo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14100 Se 36th St Ste 210, Bellevue, WA 98006 Phone: 425-653-7100 Fax: 425-653-7109
Mrs. Alice G. Schoos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1605 116th Ave Ne, Suite 110, Bellevue, WA 98004 Phone: 425-450-9801 Fax: 425-450-9778

Mr Clyde W Johnson, PT, CHT - Medicare Physical Therapist in Bellevue, WA