Nicholas Bradford Johnson, MD - Medicare Plastic And Reconstructive Surgery in Idaho Falls, ID

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Nicholas Bradford Johnson, MD is a medicare enrolled "Plastic Surgery" physician in Idaho Falls, Idaho. He went to St. Louis College Of Physicians And Surgeons and graduated in 2010 and has 16 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Steele Lake Specialty Pllc and his current practice location is 3200 Channing Way Ste 206, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 529-2230.

Nicholas Bradford Johnson is licensed to practice in Idaho (license number M-14721) 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 1578850210.

Contact Information

Nicholas Bradford Johnson, MD
3200 Channing Way Ste 206,
Idaho Falls, ID 83404-7546
(208) 529-2230
(208) 453-6142

Map and Direction




Physician's Profile

Full NameNicholas Bradford Johnson
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience16 Years
Location3200 Channing Way Ste 206, Idaho Falls, Idaho
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:
  • Nicholas Bradford Johnson attended and graduated from St. Louis College Of Physicians And Surgeons in 2010
  NPI Data:
  • NPI Number: 1578850210
  • Provider Enumeration Date: 07/01/2011
  • Last Update Date: 06/09/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2860783404
  • Enrollment ID: I20190927000381

Medical Identifiers

Medical identifiers for Nicholas Bradford Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578850210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery M-14721 (Idaho)Secondary
208200000XPlastic Surgery M-14721 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Brio Idaho Home Health LlcIdaho falls, IDHome health agency
Eastern Idaho Regional Medical CenterIdaho falls, IDHospital
Mountain View HospitalIdaho falls, IDHospital
Portneuf Medical CenterPocatello, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Steele Lake Specialty Pllc115377456719

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. Nicholas Bradford Johnson allows following entities to bill medicare on his behalf.
Entity NameSteele Lake Specialty Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215716998
PECOS PAC ID: 1153774567
Enrollment ID: O20240201000040

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. Nicholas Bradford 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 AddressPractice Location Address
Nicholas Bradford Johnson, MD
3200 Channing Way Ste A206,
Idaho Falls, ID 83404-7586

Ph: (208) 529-2230		Nicholas Bradford Johnson, MD
3200 Channing Way Ste 206,
Idaho Falls, ID 83404-7546

Ph: (208) 529-2230

Reviews and Comments


Plastic Surgery Doctors in Idaho Falls, ID

Dr. Jhade Woodall, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Channing Way Ste 206, Idaho Falls, ID 83404
Phone: 208-529-2230    Fax: 208-453-6142
Dr. William P.d. Wilson Iii, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2860 Channing Way, Suite 112, Idaho Falls, ID 83404
Phone: 208-524-4381    Fax: 208-523-6477

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.