Dr Brian David Johnson, PHD, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Palm Springs, California. He graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is
1836 N Mira Loma Way, Palm Springs, California. You can reach out to his office (for appointments etc.) via phone at
(310) 989-5654.
Dr Brian David Johnson is licensed to practice in California (license number NP22980) 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 1407865660.
Healthcare Provider's Profile
| Full Name | Dr Brian David Johnson |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 1836 N Mira Loma Way, Palm Springs, California |
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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. |
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Medical Education and Training:
- Dr Brian David Johnson graduated from medical school in 2012
NPI Data:
- NPI Number: 1407865660
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 06/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749449031
- Enrollment ID: I20140321001211
Medical Identifiers
Medical identifiers for Dr Brian David Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407865660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PSY13975 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP22980 (California) | 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. Dr Brian David Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Exodus Recovery Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245441906
PECOS PAC ID: 2668467341
Enrollment ID: O20100107000614 |
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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. Dr Brian David 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 |
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Dr Brian David Johnson, PHD, NP
1836 N Mira Loma Way,
Palm Springs, CA 92262-2977
Ph: (310) 989-5654 | Dr Brian David Johnson, PHD, NP
1836 N Mira Loma Way,
Palm Springs, CA 92262-2977
Ph: (310) 989-5654 |
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