Dr Nathan Dale Johnson, DO in Madison, MS - Medicare Orthopaedic Surgery

Dr Nathan Dale Johnson, DO is a medicare enrolled "Orthopaedic Surgery" physician in Madison, Mississippi. His current practice location is 401 Baptist Dr Ste 301, Madison, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 973-1571.

Dr Nathan Dale Johnson is licensed to practice in Mississippi (license number 35973) 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 1437590882.

Contact Information

	Dr Nathan Dale Johnson, DO
	401 Baptist Dr Ste 301, Madison, MS 39110-2012
	(601) 973-1571
	(601) 973-1577

Map and Direction

Physician's Profile

Full Name	Dr Nathan Dale Johnson
Gender	Male
Speciality	Orthopaedic Surgery
Location	401 Baptist Dr Ste 301, Madison, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437590882
Provider Enumeration Date: 07/15/2013
Last Update Date: 11/10/2025

Medicare PECOS Information:

PECOS PAC ID: 5597096479
Enrollment ID: I20191007003022

Medical Identifiers

Medical identifiers for Dr Nathan Dale Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437590882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	35973 (Mississippi)	Primary
207X00000X	Orthopaedic Surgery	66084 (Minnesota)	Secondary
207X00000X	Orthopaedic Surgery	71635 (Wisconsin)	Secondary

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 Nathan Dale Johnson allows following entities to bill medicare on his behalf.

Entity Name	Prairie Ridge Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777

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 Nathan Dale 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 Nathan Dale Johnson, DO 350 N Humphreys Blvd, Memphis, TN 38120-2177 Ph: (901) 226-4003	Dr Nathan Dale Johnson, DO 401 Baptist Dr Ste 301, Madison, MS 39110-2012 Ph: (601) 973-1571

Reviews and Comments

Orthopaedic Surgery Doctors in Madison, MS

Dr. James Adam Smitherman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Baptist Dr Ste 301, Madison, MS 39110 Phone: 601-973-1571 Fax: 601-973-1577
Lloyd Franklin Mercer, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 303 Grayling Blvd, Madison, MS 39110 Phone: 601-853-2351
Dr. Peter Nathanael Mittwede, M.D., PH.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Baptist Dr Ste 301, Madison, MS 39110 Phone: 601-973-1571 Fax: 601-973-1577

Dr Nathan Dale Johnson, DO - Medicare Orthopaedic Surgery in Madison, MS