Peter James Johnson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Mahanoy City, Pennsylvania. He went to Temple University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Podiatry. His current practice location is
107 W Centre St, Mahanoy City, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 449-8670.
Peter James Johnson is licensed to practice in Pennsylvania (license number SC005660) 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 1114966264.
Healthcare Provider's Profile
| Full Name | Peter James Johnson |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 21 Years |
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| Location | 107 W Centre St, Mahanoy City, Pennsylvania |
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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:
- Peter James Johnson attended and graduated from Temple University School Of Medicine in 2003
NPI Data:
- NPI Number: 1114966264
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800899212
- Enrollment ID: I20060824000011
Medical Identifiers
Medical identifiers for Peter James Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114966264 | NPI | - | NPPES |
| SC005660 | Other | PA | MEDICAL LICENSE PA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | SC005660 (Pennsylvania) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC005660 (Pennsylvania) | Primary |
Medical Facilities Affiliation
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. Peter James Johnson allows following entities to bill medicare on his behalf.
| Provider Name | Advent Foot And Ankle Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1487837498
PECOS PAC ID: 8921181181
Enrollment ID: O20080211000624 |
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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. Peter James 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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Peter James Johnson, DPM
509 Oak St,
Jim Thorpe, PA 18229-2110
Ph: (570) 249-1021 | Peter James Johnson, DPM
107 W Centre St,
Mahanoy City, PA 17948-2605
Ph: (570) 449-8670 |
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