Mr Gary Russell Johnson, PT is a medicare enrolled "Physical Therapist" provider in Woodville, Mississippi. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
558 1st South St, Woodville, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 888-7944.
Mr Gary Russell Johnson is licensed to practice in Mississippi (license number PT1639) 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 1285794107.
Healthcare Provider's Profile
Full Name | Mr Gary Russell Johnson |
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Gender | Male |
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Speciality | Physical Therapy |
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Experience | 34 Years |
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Location | 558 1st South St, Woodville, Mississippi |
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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. |
Medical Education and Training:
- Mr Gary Russell Johnson graduated from medical school in 1990
NPI Data:
- NPI Number: 1285794107
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 10/22/2007
Medicare PECOS Information:
- PECOS PAC ID: 2668559121
- Enrollment ID: I20080408000445
Medical Identifiers
Medical identifiers for Mr Gary Russell Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285794107 | NPI | - | NPPES |
00126497 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT1639 (Mississippi) | 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 Gary Russell Johnson allows following entities to bill medicare on his behalf.
Provider Name | Premier Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1053523209 PECOS PAC ID: 0547348641 Enrollment ID: O20080415000198 |
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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 Gary Russell 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 Gary Russell Johnson, PT 558 1st South St, Woodville, MS 39669-3777 Ph: (601) 888-7944 | Mr Gary Russell Johnson, PT 558 1st South St, Woodville, MS 39669-3777 Ph: (601) 888-7944 |
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