Dr Clayton Gary Johnsen, DPM in San Bernardino, CA

Dr Clayton Gary Johnsen, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in San Bernardino, California. He went to New York College Of Podiatric Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Pacific Coast Podiatry Pc and his current practice location is 1762 N Waterman Ave, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 886-3668.

Dr Clayton Gary Johnsen is licensed to practice in Washington (license number PO60139080) 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 1003141318.

Contact Information

	Dr Clayton Gary Johnsen, DPM
	1762 N Waterman Ave, San Bernardino, CA 92404-5130
	(909) 886-3668
	(909) 886-5542

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Clayton Gary Johnsen
Gender	Male
Speciality	Podiatry
Experience	17 Years
Location	1762 N Waterman Ave, San Bernardino, California
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:

Dr Clayton Gary Johnsen attended and graduated from New York College Of Podiatric Medicine in 2007

NPI Data:

NPI Number: 1003141318
Provider Enumeration Date: 10/05/2009
Last Update Date: 06/20/2022

Medicare PECOS Information:

PECOS PAC ID: 1759512353
Enrollment ID: I20140501002283

Medical Identifiers

Medical identifiers for Dr Clayton Gary Johnsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003141318	NPI	-	NPPES
CB220721	Other		MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	E4834 (California)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	PO60139080 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pacific Coast Podiatry Pc	6204122997	3

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. Dr Clayton Gary Johnsen allows following entities to bill medicare on his behalf.

Provider Name	Pacific Coast Podiatry Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285080978 PECOS PAC ID: 6204122997 Enrollment ID: O20160906002655

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. Dr Clayton Gary Johnsen 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
Dr Clayton Gary Johnsen, DPM 1762 N Waterman Ave, San Bernardino, CA 92404-5130 Ph: (909) 886-3668	Dr Clayton Gary Johnsen, DPM 1762 N Waterman Ave, San Bernardino, CA 92404-5130 Ph: (909) 886-3668

Reviews and Comments

Podiatrist in San Bernardino, CA

Dr. Lucius Jr Hill Jr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1738 N Waterman Ave, Ste 5, San Bernardino, CA 92404 Phone: 909-886-7700 Fax: 909-886-7707
San Bernardino Foot Clinic, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 2095 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-882-3800 Fax: 909-882-3380
Stepwell Podiatry Group Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 473 E Carnegie Drive, Suite 200, San Bernardino, CA 92408 Phone: 909-244-7430 Fax: 909-495-1380
Providence Podiatry Care, Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 473 E Carnegie Drive, Suite 200, San Bernardino, CA 92408 Phone: 909-244-7430 Fax: 909-495-1380
Dr. Kevin Dean O'reilly, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1556 N D St, San Bernardino, CA 92405 Phone: 909-885-0652 Fax: 909-885-5022
Dr. Sang Dae Lee, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2095 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-882-3800 Fax: 909-882-3380

Dr Clayton Gary Johnsen, DPM - Medicare Podiatrist in San Bernardino, CA