Alexander Alide Johnson, DO in Moses Lake, WA

Alexander Alide Johnson, DO is a medicare enrolled "Family Medicine" physician in Moses Lake, Washington. His current practice location is 8420 Aspi Blvd, Moses Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 793-9781.

Alexander Alide Johnson is licensed to practice in Washington (license number OP61459255) 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 1245851971.

Contact Information

	Alexander Alide Johnson, DO
	8420 Aspi Blvd, Moses Lake, WA 98837-3601
	(509) 793-9781
	(509) 764-3281

Map and Direction

Physician's Profile

Full Name	Alexander Alide Johnson
Gender	Male
Speciality	Family Medicine
Location	8420 Aspi Blvd, Moses Lake, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245851971
Provider Enumeration Date: 05/05/2020
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0941621726
Enrollment ID: I20230828002913

Medical Identifiers

Medical identifiers for Alexander Alide Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245851971	NPI	-	NPPES
2251041	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OP61459255 (Washington)	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. Alexander Alide Johnson allows following entities to bill medicare on his behalf.

Entity Name	Grant County Public Hospital District 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602

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. Alexander Alide 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
Alexander Alide Johnson, DO 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (097) 939-7155	Alexander Alide Johnson, DO 8420 Aspi Blvd, Moses Lake, WA 98837-3601 Ph: (509) 793-9781

Reviews and Comments

Family Medicine Doctors in Moses Lake, WA

Casey Michelle Celerian, Family Medicine Medicare: Medicare Enrolled Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711
Matthew Hardy, M.S., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674
Dr. Micheal Ryan Tolley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674
Ed Hoover, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216
Dr. Kim Trong Nguyen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-765-6591
Cameron M. Beck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-765-6591
Jill Simon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674

Alexander Alide Johnson, DO - Medicare Family Medicine in Moses Lake, WA