Cooper Johnston, DO - Medicare Family Practice in Phoenix, AZ

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Cooper Johnston, DO is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2015 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Heritage Technologies Llc, Rhg Of Arizona Pc and his current practice location is 4122 N 17th St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 543-1515.

Cooper Johnston is licensed to practice in Arizona (license number 007402) 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 1073992087.

Contact Information

Cooper Johnston, DO
4122 N 17th St,
Phoenix, AZ 85016-5922
(928) 543-1515
Not Available

Map and Direction




Physician's Profile

Full NameCooper Johnston
GenderMale
SpecialityFamily Practice
Experience10 Years
Location4122 N 17th St, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cooper Johnston attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2015
  NPI Data:
  • NPI Number: 1073992087
  • Provider Enumeration Date: 05/22/2015
  • Last Update Date: 05/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173861010
  • Enrollment ID: I20190219000818

Medical Identifiers

Medical identifiers for Cooper Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073992087NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine 007402 (Arizona)Secondary
207Q00000XFamily Medicine 007402 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Heritage Technologies Llc519362848515
Rhg Of Arizona Pc943668944515

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. Cooper Johnston allows following entities to bill medicare on his behalf.
Entity NameHeritage Technologies Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093764938
PECOS PAC ID: 5193628485
Enrollment ID: O20040526000631
Entity NameRhg Of Arizona Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013744218
PECOS PAC ID: 9436689445
Enrollment ID: O20250206000112

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. Cooper Johnston 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 AddressPractice Location Address
Cooper Johnston, DO
22744 E Maya Rd,
Queen Creek, AZ 85142-2834

Ph: (480) 678-2747		Cooper Johnston, DO
4122 N 17th St,
Phoenix, AZ 85016-5922

Ph: (928) 543-1515

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.