Beth Hagerty Johnson, MD in San Diego, CA

Beth Hagerty Johnson, MD is a medicare enrolled "Pediatrics" physician in San Diego, California. Her current practice location is 7090 Miratech Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 304-6440.

Beth Hagerty Johnson is licensed to practice in California (license number A161343) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518221894.

Contact Information

	Beth Hagerty Johnson, MD
	7090 Miratech Dr, San Diego, CA 92121-3109
	(858) 304-6440
	Not Available

Map and Direction

Physician's Profile

Full Name	Beth Hagerty Johnson
Gender	Female
Speciality	Pediatrics
Location	7090 Miratech Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518221894
Provider Enumeration Date: 07/01/2012
Last Update Date: 08/19/2019

Medicare PECOS Information:

PECOS PAC ID: 1850690777
Enrollment ID: I20160427002150

Medical Identifiers

Medical identifiers for Beth Hagerty Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518221894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101255655 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208000000X	Pediatrics	A161343 (California)	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. Beth Hagerty 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
Beth Hagerty Johnson, MD 7090 Miratech Dr, San Diego, CA 92121-3109 Ph: (858) 304-6440	Beth Hagerty Johnson, MD 7090 Miratech Dr, San Diego, CA 92121-3109 Ph: (858) 304-6440

Reviews and Comments

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Beth Hagerty Johnson, MD - Medicare Pediatrics in San Diego, CA