Dr Mark W Johnson, MD - Medicare Pathology in Sioux Falls, SD

Dr Mark W Johnson, MD is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in Sioux Falls, South Dakota. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1986 and has 38 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Sanford Clinic and his current practice location is 1305 W 18th St, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 333-1720.

Dr Mark W Johnson is licensed to practice in South Dakota (license number 3451) 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 1558347765.

Contact Information

Dr Mark W Johnson, MD
1305 W 18th St,
Sioux Falls, SD 57105-0401
(605) 333-1720
(605) 333-1966

Map and Direction




Physician's Profile

Full NameDr Mark W Johnson
GenderMale
SpecialityPathology
Experience38 Years
Location1305 W 18th St, Sioux Falls, South Dakota
Accepts Medicare AssignmentsYes. 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 Mark W Johnson attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1986
  NPI Data:
  • NPI Number: 1558347765
  • Provider Enumeration Date: 12/20/2005
  • Last Update Date: 01/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981696671
  • Enrollment ID: I20100223000540

Medical Identifiers

Medical identifiers for Dr Mark W Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558347765NPI-NPPES
220017379OtherRAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 3451 (South Dakota)Secondary
207ZP0105XPathology - Clinical Pathology/laboratory Medicine 3451 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Usd Medical CenterSioux falls, SDHospital
Sanford Medical Center WorthingtonWorthington, MNHospital
Sanford Medical Center FargoFargo, NDHospital
Sanford Sheldon Medical CenterSheldon, IAHospital
Sanford Luverne Medical CenterLuverne, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Clinic0244143824228

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 Mark W Johnson allows following entities to bill medicare on his behalf.
Entity NameSanford Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396764254
PECOS PAC ID: 0244143824
Enrollment ID: O20031110000532

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 Mark 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 AddressPractice Location Address
Dr Mark W Johnson, MD
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: (605) 328-6585
Dr Mark W Johnson, MD
1305 W 18th St,
Sioux Falls, SD 57105-0401

Ph: (605) 333-1720

Reviews and Comments


Pathology Doctors in Sioux Falls, SD

Garth A. Aasen, MD
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Phone: 605-322-7200    Fax: 605-322-7222
Marc Dvoracek,
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Practice Location: 1301 S Cliff Ave Ste 700, Sioux Falls, SD 57105
Phone: 605-322-7200    
Dr. Erin Elizabeth Quist, M.D.
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Practice Location: 1301 S Cliff Ave, Suite 700, Sioux Falls, SD 57105
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Dr. Joel A Ziebarth, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1305 W 18th St, Sioux Falls, SD 57105
Phone: 605-333-1720    Fax: 605-333-1966
Prasuna Muppa, M.B.B.S
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Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Cliff Ave Ste 700, Sioux Falls, SD 57105
Phone: 605-322-7200    Fax: 605-322-7222
Dr. Wesley D Putnam, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1305 W 18th St, Sioux Falls, SD 57105
Phone: 605-333-1720    Fax: 605-333-1966
Brian Joel Tjarks, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Cliff Ave Ste 700, Sioux Falls, SD 57105
Phone: 605-322-7200    Fax: 605-322-7222

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.