Amanda Beth Johnson, DO is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Calhoun City, Mississippi. Her current practice location is
140 Burke Calhoun City Rd, Calhoun City, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 628-6622.
Amanda Beth Johnson is licensed to practice in Mississippi (license number 26427) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942511456.
Physician's Profile
| Full Name | Amanda Beth Johnson |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 140 Burke Calhoun City Rd, Calhoun City, Mississippi |
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| Accepts Medicare Assignments | Yes. She 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:
- Amanda Beth Johnson attended and graduated from in
NPI Data:
- NPI Number: 1942511456
- Provider Enumeration Date: 06/30/2010
- Last Update Date: 12/05/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Amanda Beth Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942511456 | NPI | - | NPPES |
| FY7AZ | Other | FL | FL BLUE PROVIDER NUMBER |
| 04385321 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | OS15269 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 26427 (Mississippi) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | OS15269 (Florida) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 26427 (Mississippi) | Primary |
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. Amanda Beth 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 |
|---|
Amanda Beth Johnson, DO
620 Crossover Rd,
Tupelo, MS 38801-4944
Ph: (850) 873-3990 | Amanda Beth Johnson, DO
140 Burke Calhoun City Rd,
Calhoun City, MS 38916-9690
Ph: (662) 628-6622 |
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