Dr Frederick Dwayne Johnson Jr, MD - Medicare Interventional Radiology in Little Rock, AR

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Dr Frederick Dwayne Johnson Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Little Rock, Arkansas. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Amgir, Inc., Hospital Authority Of Mitchell County, John D. Archbold Memorial Hospital, Inc. and his current practice location is 5 Woods Cv, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 348-5797.

Dr Frederick Dwayne Johnson Jr is licensed to practice in Tennessee (license number 51504) 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 1619143914.

Contact Information

Dr Frederick Dwayne Johnson Jr, MD
5 Woods Cv,
Little Rock, AR 72210-9108
(501) 348-5797
Not Available

Map and Direction




Physician's Profile

Full NameDr Frederick Dwayne Johnson Jr
GenderMale
SpecialityInterventional Radiology
Experience16 Years
Location5 Woods Cv, Little Rock, Arkansas
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:
  • Dr Frederick Dwayne Johnson Jr graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1619143914
  • Provider Enumeration Date: 05/06/2008
  • Last Update Date: 06/10/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1951530799
  • Enrollment ID: I20191231001347

Medical Identifiers

Medical identifiers for Dr Frederick Dwayne Johnson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619143914NPI-NPPES
Q007629MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 51504 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John D Archbold Memorial HospitalThomasville, GAHospital
Colquitt Regional Medical CenterMoultrie, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Amgir, Inc.640612761210
Hospital Authority Of Mitchell County600272459831
John D. Archbold Memorial Hospital, Inc.498150262262

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 Frederick Dwayne Johnson Jr allows following entities to bill medicare on his behalf.
Entity NameHospital Authority Of Mitchell County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700830247
PECOS PAC ID: 6002724598
Enrollment ID: O20031117000138
Entity NameJohn D. Archbold Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194779702
PECOS PAC ID: 4981502622
Enrollment ID: O20031219000506
Entity NameGrady General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013961507
PECOS PAC ID: 7618866518
Enrollment ID: O20040310001254
Entity NameBrooks County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306890942
PECOS PAC ID: 1557279049
Enrollment ID: O20040316000884
Entity NameAmgir, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538693197
PECOS PAC ID: 6406127612
Enrollment ID: O20170807002109

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 Frederick Dwayne Johnson Jr 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
Dr Frederick Dwayne Johnson Jr, MD
5 Woods Cv,
Little Rock, AR 72210-9108

Ph: () -		Dr Frederick Dwayne Johnson Jr, MD
5 Woods Cv,
Little Rock, AR 72210-9108

Ph: (501) 348-5797

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).

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