Douglas Frederick Johnston, DO - Medicare Family Practice in Tyler, TX

Douglas Frederick Johnston, DO is a medicare enrolled "Family Medicine" physician in Tyler, Texas. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Etmc Physician Group, Inc. and his current practice location is 6210 S Broadway Ave, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 579-2700.

Douglas Frederick Johnston is licensed to practice in Texas (license number L7432) 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 1083641559.

Contact Information

Douglas Frederick Johnston, DO
6210 S Broadway Ave,
Tyler, TX 75703-4413
(903) 579-2700
(903) 534-9463

Map and Direction




Physician's Profile

Full NameDouglas Frederick Johnston
GenderMale
SpecialityFamily Practice
Experience24 Years
Location6210 S Broadway Ave, Tyler, Texas
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:
  • Douglas Frederick Johnston graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1083641559
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 01/03/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6103830773
  • Enrollment ID: I20100215000764

Medical Identifiers

Medical identifiers for Douglas Frederick Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083641559NPI-NPPES
P00050031OtherMEDICARE RR
8J0326OtherTXBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine L7432 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ut Health East Texas Home Health ServicesPittsburg, TXHome health agency
Ut Health East Texas Tyler Regional HospitalTyler, TXHospital
The University Of Texas Health Science Center At TylerTyler, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Etmc Physician Group, Inc.4486915600276

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. Douglas Frederick Johnston allows following entities to bill medicare on his behalf.
Entity NameEast Texas Medical Center Healthcare Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124062484
PECOS PAC ID: 3678486222
Enrollment ID: O20031114000152
Entity NameEtmc Physician Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106

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. Douglas Frederick 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
Douglas Frederick Johnston, DO
Po Box 9477,
Tyler, TX 75711-9477

Ph: (903) 594-2450
Douglas Frederick Johnston, DO
6210 S Broadway Ave,
Tyler, TX 75703-4413

Ph: (903) 579-2700

Reviews and Comments


Family Medicine Doctors in Tyler, TX

Dr. John W Scroggins, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 8288 S Broadway Ave, Tyler, TX 75703
Phone: 903-606-7060    
Dr. James Kent Gray, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707
Phone: 903-655-0880    Fax: 903-654-6415
Dr. Eric R Smith, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3802 Manhatton, Tyler, TX 75701
Phone: 903-509-8888    
Michele C Bosworth, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7777    Fax: 903-877-5080
Dr. James A Lively, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3802 Manhatton Dr, Tyler, TX 75701
Phone: 903-509-8888    
Steven J Cohen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1327 Troup Hwy, Tyler, TX 75701
Phone: 903-510-8764    
Andrea M Ellis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8288 S Broadway Ave, Tyler, TX 75703
Phone: 903-606-7060    

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.