Trevor Allen Johnson, PT, DPT in Canton, NY - Medicare Physical Therapist Provider

Trevor Allen Johnson, PT, DPT is a medicare enrolled "Physical Therapist" provider in Canton, New York. His current practice location is 39 West Main Street, Canton, New York. You can reach out to his office (for appointments etc.) via phone at (315) 379-4700.

Trevor Allen Johnson is licensed to practice in New York (license number 038434) 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 1568841609.

Contact Information

	Trevor Allen Johnson, PT, DPT
	39 West Main Street, Canton, NY 13617
	(315) 379-4700
	(315) 713-6512

Map and Direction

Healthcare Provider's Profile

Full Name	Trevor Allen Johnson
Gender	Male
Speciality	Physical Therapist
Location	39 West Main Street, Canton, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568841609
Provider Enumeration Date: 05/21/2015
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 5799168357
Enrollment ID: I20220815000257

Medical Identifiers

Medical identifiers for Trevor Allen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568841609	NPI	-	NPPES
07254337	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305209173 (Virginia)	Secondary
225100000X	Physical Therapist	1256837 (Texas)	Secondary
225100000X	Physical Therapist	038434 (New York)	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. Trevor Allen Johnson allows following entities to bill medicare on his behalf.

Provider Name	Claxton-hepburn Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891753034 PECOS PAC ID: 8426966508 Enrollment ID: O20031110000552

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. Trevor Allen 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
Trevor Allen Johnson, PT, DPT 214 King Street, Ogdensburg, NY 13669 Ph: (315) 713-5660	Trevor Allen Johnson, PT, DPT 39 West Main Street, Canton, NY 13617 Ph: (315) 379-4700

Reviews and Comments

Physical Therapist in Canton, NY

Ms. Angela M Pike, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51 Main St, Canton, NY 13617 Phone: 315-386-1108 Fax: 315-386-2116
Deanna M Errico, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 E Main St, Canton Physical Therapy, Ej Noble Bldg, Canton, NY 13617 Phone: 315-261-5490 Fax: 315-261-6490
Mrs. Tracy Leigh Elliott, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 139 State Street Rd, Canton, NY 13617 Phone: 315-386-4504 Fax: 315-379-0246
Mr. Timothy Parsons, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 State Street Rd, Canton, NY 13617 Phone: 315-386-4541
Danielle Wheat, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 E Main St, Canton, NY 13617 Phone: 315-261-5490 Fax: 315-261-6490
Miss Tamar A. Hamilton, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Commerce Lane, Cpa Of The North County, Canton, NY 13617 Phone: 315-386-8191 Fax: 315-386-1410
Julie Petry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 139 State Street Rd, Canton, NY 13617 Phone: 315-386-4504

Trevor Allen Johnson, PT, DPT - Medicare Physical Therapist in Canton, NY