Dr Bradley Tyler Johnson, MD in Winter Park, FL

Dr Bradley Tyler Johnson, MD is a medicare enrolled "Otolaryngology" physician in Winter Park, Florida. His current practice location is 133 Benmore Dr Ste 100, Winter Park, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 644-4883.

Dr Bradley Tyler Johnson is licensed to practice in Florida (license number ME132490) 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 1003010596.

Contact Information

	Dr Bradley Tyler Johnson, MD
	133 Benmore Dr Ste 100, Winter Park, FL 32792-4111
	(407) 644-4883
	(407) 644-3697

Map and Direction

Physician's Profile

Full Name	Dr Bradley Tyler Johnson
Gender	Male
Speciality	Otolaryngology
Location	133 Benmore Dr Ste 100, Winter Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003010596
Provider Enumeration Date: 06/11/2007
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 7113151127
Enrollment ID: I20171027001633

Medical Identifiers

Medical identifiers for Dr Bradley Tyler Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003010596	NPI	-	NPPES
022744400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	ME132490 (Florida)	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. Dr Bradley Tyler Johnson allows following entities to bill medicare on his behalf.

Entity Name	The Ear Nose And Throat Surgical Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114905148 PECOS PAC ID: 2466437926 Enrollment ID: O20040621000545

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. Dr Bradley Tyler 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
Dr Bradley Tyler Johnson, MD 133 Benmore Dr Ste 100, Winter Park, FL 32792-4111 Ph: (407) 644-4883	Dr Bradley Tyler Johnson, MD 133 Benmore Dr Ste 100, Winter Park, FL 32792-4111 Ph: (407) 644-4883

Reviews and Comments

Otolaryngology Doctors in Winter Park, FL

Dr. Matthew Edward Herberg, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 133 Benmore Dr Ste 100, Winter Park, FL 32792 Phone: 407-644-4883 Fax: 407-644-3697
Dr. Aftab Patni, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 133 Benmore Dr, Ste 100, Winter Park, FL 32792 Phone: 407-644-4883 Fax: 407-644-3697
Dr. Brian Spector, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 133 Benmore Dr, Ste 100, Winter Park, FL 32792 Phone: 407-644-4883 Fax: 407-644-3697
Dr. Jennifer Pamela Rodney, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 133 Benmore Dr Ste 100, Winter Park, FL 32792 Phone: 407-644-4883 Fax: 407-644-3697
Alvin Tracey Detorres, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 133 Benmore Dr Ste 100, Winter Park, FL 32792 Phone: 407-644-4883 Fax: 407-644-3697
Hao Tran, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 133 Benmore Dr, Suite 100, Winter Park, FL 32792 Phone: 407-644-4883 Fax: 407-644-3697

Dr Bradley Tyler Johnson, MD - Medicare Otolaryngology in Winter Park, FL