Dr Daryl Aundra Johnson, MD in Hattiesburg, MS - Medicare Neurological Surgery

Dr Daryl Aundra Johnson, MD is a medicare enrolled "Neurological Surgery" physician in Hattiesburg, Mississippi. His current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 579-5459.

Dr Daryl Aundra Johnson is licensed to practice in Mississippi (license number 23216) 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 1902095664.

Contact Information

	Dr Daryl Aundra Johnson, MD
	415 S 28th Ave, Hattiesburg, MS 39401-7246
	(601) 579-5459
	(601) 268-5733

Map and Direction

Physician's Profile

Full Name	Dr Daryl Aundra Johnson
Gender	Male
Speciality	Neurological Surgery
Location	415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902095664
Provider Enumeration Date: 10/18/2007
Last Update Date: 08/23/2016

Medicare PECOS Information:

PECOS PAC ID: 1052539806
Enrollment ID: I20140820001852

Medical Identifiers

Medical identifiers for Dr Daryl Aundra Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902095664	NPI	-	NPPES
08681565	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	T-2057 (Mississippi)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	T-2057 (Mississippi)	Secondary
207T00000X	Neurological Surgery	23216 (Mississippi)	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 Daryl Aundra Johnson allows following entities to bill medicare on his behalf.

Entity Name	Fgh Physician Billing
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053469700 PECOS PAC ID: 1850344946 Enrollment ID: O20050301000617

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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 Daryl Aundra 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 Daryl Aundra Johnson, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-5459	Dr Daryl Aundra Johnson, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-5459

Reviews and Comments

Neurological Surgery Doctors in Hattiesburg, MS

Dr. Frank Joseph Hux, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5459 Fax: 601-268-5733
Charles R Brent, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1212 South 28th Ave, Hattiesburg, MS 39402 Phone: 601-475-2430
Gregory R Toczyl, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5459 Fax: 601-579-5240
Richard Elwood Clatterbuck, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5459 Fax: 601-268-5733
Bradley T Hall, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5459 Fax: 601-268-5733
Dr. Kerry L Bernardo, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3688 Veterans Memorial Drive, Suite 200, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7499
Dr. Michael W Lowry, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr W, Hattiesburg, MS 39402 Phone: 601-296-3000 Fax: 601-296-3001

Dr Daryl Aundra Johnson, MD - Medicare Neurological Surgery in Hattiesburg, MS