Alex Walker Johnson, DO is a medicare enrolled "Ophthalmology" physician in Port Royal, South Carolina. He went to Liberty Univ College Of Osteopathic Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Beaufort Eye Center P A and his current practice location is
1664 Ribaut Rd, Port Royal, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 522-8466.
Alex Walker Johnson is licensed to practice in South Carolina (license number 93824) 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 1245806736.
Physician's Profile
| Full Name | Alex Walker Johnson |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 5 Years |
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| Location | 1664 Ribaut Rd, Port Royal, South Carolina |
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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:
- Alex Walker Johnson attended and graduated from Liberty Univ College Of Osteopathic Medicine in 2021
NPI Data:
- NPI Number: 1245806736
- Provider Enumeration Date: 06/03/2021
- Last Update Date: 09/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 0648671255
- Enrollment ID: I20250728001410
Medical Identifiers
Medical identifiers for Alex Walker Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245806736 | NPI | - | NPPES |
| 93824 | Other | SC | SC MEDICAL LICENSE |
| 12871 | Other | GA | GEORGIA RESIDENCY TRAINING PERMIT |
| 938240 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 12871 (Georgia) | Secondary |
| 207W00000X | Ophthalmology | 93824 (South Carolina) | Primary |
| 207R00000X | Internal Medicine | 12871 (Georgia) | Secondary |
| 207W00000X | Ophthalmology | 0102210338 (Virginia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Beaufort Eye Center P A | 1052407640 | 6 |
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. Alex Walker Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Beaufort Eye Center P a |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639398472
PECOS PAC ID: 1052407640
Enrollment ID: O20071011000712 |
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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. Alex Walker 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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Alex Walker Johnson, DO
125 Furrow Ln,
Ladys Island, SC 29907-1272
Ph: (606) 316-2562 | Alex Walker Johnson, DO
1664 Ribaut Rd,
Port Royal, SC 29935-1708
Ph: (843) 522-8466 |
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