Dr Michael Alan Johnson, DPM in Petaluma, CA

Dr Michael Alan Johnson, DPM is a medicare enrolled "Podiatrist" provider in Petaluma, California. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Providence Medical Foundation and his current practice location is 108 Lynch Creek Way, Suite 3, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (707) 763-2253.

Dr Michael Alan Johnson is licensed to practice in California (license number E3671) 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 1205847209.

Contact Information

	Dr Michael Alan Johnson, DPM
	108 Lynch Creek Way, Suite 3, Petaluma, CA 94954
	(707) 763-2253
	(707) 763-7030

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Alan Johnson
Gender	Male
Speciality	Podiatry
Experience	35 Years
Location	108 Lynch Creek Way, Petaluma, 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 Michael Alan Johnson graduated from medical school in 1989

NPI Data:

NPI Number: 1205847209
Provider Enumeration Date: 08/11/2006
Last Update Date: 11/03/2021

Medicare PECOS Information:

PECOS PAC ID: 4082707633
Enrollment ID: I20070912000590

Medical Identifiers

Medical identifiers for Dr Michael Alan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205847209	NPI	-	NPPES
480027344	Other	CA	RAILROAD MEDICARE
000E36712	Other	CA	MEDICAL
000E36712	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	E3671 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Petaluma Valley Hospital	Petaluma, CA	Hospital
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1293

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 Michael Alan Johnson allows following entities to bill medicare on his behalf.

Provider Name	Providence Medical Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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 Michael Alan 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
Dr Michael Alan Johnson, DPM 108 Lynch Creek Way, Suite 3, Petaluma, CA 94954 Ph: (707) 763-2253	Dr Michael Alan Johnson, DPM 108 Lynch Creek Way, Suite 3, Petaluma, CA 94954 Ph: (707) 763-2253

Reviews and Comments

Podiatrist in Petaluma, CA

Dr. Ronald M Lavigna, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1400 Professional Drive, Suite 102, Petaluma, CA 94954 Phone: 707-769-8481 Fax: 707-769-0751
Mrs. Rochelle Lenore Bomar, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 231 N Mcdowell Blvd, Suite D, Petaluma, CA 94954 Phone: 707-763-4343 Fax: 707-283-4663
Don Markley Griffith, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 108 Lynch Creek Wy, #3, Petaluma, CA 94954 Phone: 707-763-2253 Fax: 707-763-7030
Dr. Peter Redko, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1400 Professional Drive, Suite 102, Petaluma, CA 94954 Phone: 707-769-8481 Fax: 707-769-0751
St Joseph Heritage Healthcare Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 108 Lynch Creek Way, Suite 3, Petaluma, CA 94954 Phone: 707-763-7403 Fax: 707-789-0900
North Bay Foot & Ankle Center Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1400 Professional Dr, # 102, Petaluma, CA 94954 Phone: 707-769-8481 Fax: 707-769-0751

Dr Michael Alan Johnson, DPM - Medicare Podiatrist in Petaluma, CA