Dr Philip James Johnson, MD is a medicare enrolled "Family Medicine" physician in Ft Wayne, Indiana. His current practice location is
2418 Lake Ave, Ft Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 422-4757.
Dr Philip James Johnson is licensed to practice in Indiana (license number 01023461) 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 1306975263.
Physician's Profile
| Full Name | Dr Philip James Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
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| Location | 2418 Lake Ave, Ft Wayne, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306975263
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 01/31/2008
Medicare PECOS Information:
- PECOS PAC ID: 9234203597
- Enrollment ID: I20080805000034
Medical Identifiers
Medical identifiers for Dr Philip James Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306975263 | NPI | - | NPPES |
| 000000083093 | Other | IN | PIN BCBS |
| 4062678 | Other | IN | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 01023461 (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 Philip James 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 Philip James Johnson, MD 2418 Lake Ave, Ft Wayne, IN 46805 Ph: (260) 422-4757 | Dr Philip James Johnson, MD 2418 Lake Ave, Ft Wayne, IN 46805 Ph: (260) 422-4757 |
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