Mr David Donald Johanson, DPT in Jacksonville, NC - Medicare Physical Therapist Provider

Mr David Donald Johanson, DPT is a medicare enrolled "Physical Therapist" provider in Jacksonville, North Carolina. His current practice location is 2145 Country Club Rd Ste 800, Jacksonville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 939-5759.

Mr David Donald Johanson is licensed to practice in North Carolina (license number P18398) 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 1457685745.

Contact Information

	Mr David Donald Johanson, DPT
	2145 Country Club Rd Ste 800, Jacksonville, NC 28546-2400
	(910) 939-5759
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr David Donald Johanson
Gender	Male
Speciality	Physical Therapist
Location	2145 Country Club Rd Ste 800, Jacksonville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457685745
Provider Enumeration Date: 09/21/2009
Last Update Date: 02/26/2021

Medicare PECOS Information:

PECOS PAC ID: 6901942945
Enrollment ID: I20190731002092

Medical Identifiers

Medical identifiers for Mr David Donald Johanson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457685745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	031807-1 (New York)	Secondary
225100000X	Physical Therapist	P18398 (North Carolina)	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. Mr David Donald Johanson allows following entities to bill medicare on his behalf.

Provider Name	Synergy Physical Therapy & Sports Medicine Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1326300013 PECOS PAC ID: 7911156559 Enrollment ID: O20120926000002

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 David Donald Johanson 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 David Donald Johanson, DPT 2145 Country Club Rd Ste 800, Jacksonville, NC 28546-2400 Ph: (910) 939-5759	Mr David Donald Johanson, DPT 2145 Country Club Rd Ste 800, Jacksonville, NC 28546-2400 Ph: (910) 939-5759

Reviews and Comments

Physical Therapist in Jacksonville, NC

Erin M Ryan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083
Kelsey Aldi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555
Dr. Taylor Chadwick Bryan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083
Mr. Frank J Mikloucich Jr., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3060 Henderson Dr, Jacksonville, NC 28546 Phone: 910-346-3151 Fax: 910-346-2975
Heather Koopman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Brabham Ave Ste 100, Jacksonville, NC 28546 Phone: 910-332-3800 Fax: 910-251-0421
Darrin Eugene Madole, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 Fax: 910-938-7544
Jose Luis Dejesus, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 Fax: 910-938-7544

Mr David Donald Johanson, DPT - Medicare Physical Therapist in Jacksonville, NC