Dr David R Johnson, MD is a
Family Medicine physician based in Indpls, Indiana. Dr David R Johnson is licensed to practice in Indiana (license number 01037139) and his current practice location is 2001 W 86th St., St. Vincent Emergency Physicians, Inc, Indpls, Indiana. He can be reached at his office (for appointments etc.) via phone at
(317) 802-3140.
NPI number for Dr David R Johnson is 1043293244 and his current mailing address is 4685 Reliable Pkwy, St Vincent Emergency Physicians, Inc, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043293244.
Physician's Profile
| Full Name | Dr David R Johnson |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2001 W 86th St., Indpls, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043293244
- Provider Enumeration Date: 11/22/2005
- Last Update Date: 01/22/2009
Medical Identifiers
Medical identifiers for Dr David R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043293244 | NPI | - | NPPES |
| 200013750 | Medicaid | IN | |
| 200013730 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 01037139A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01037139 (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 01037139 (Indiana) | 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. Dr David R Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr David R Johnson, MD
4685 Reliable Pkwy, St Vincent Emergency Physicians, Inc,
Chicago, IL 60686-0046
Ph: (317) 802-3140 | Dr David R Johnson, MD
2001 W 86th St., St. Vincent Emergency Physicians, Inc,
Indpls, IN 46260-1902
Ph: (317) 802-3140 |
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