Dr Richard Owen Johnson, MD in Mammoth Lakes, CA

Dr Richard Owen Johnson, MD is a medicare enrolled "Pediatrics" physician in Mammoth Lakes, California. His current practice location is 85 Sierra Park Road, Suite A, Mammoth Lakes, California. You can reach out to his office (for appointments etc.) via phone at (760) 924-4000.

Dr Richard Owen Johnson is licensed to practice in California (license number G29540) 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 1063528362.

Contact Information

	Dr Richard Owen Johnson, MD
	85 Sierra Park Road, Suite A, Mammoth Lakes, CA 93546
	(760) 924-4000
	(760) 924-4091

Map and Direction

Physician's Profile

Full Name	Dr Richard Owen Johnson
Gender	Male
Speciality	Pediatrics
Location	85 Sierra Park Road, Mammoth Lakes, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063528362
Provider Enumeration Date: 08/21/2006
Last Update Date: 04/16/2013

Medicare PECOS Information:

PECOS PAC ID: 5597073700
Enrollment ID: I20151007001354

Medical Identifiers

Medical identifiers for Dr Richard Owen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063528362	NPI	-	NPPES
00G295401	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G29540 (California)	Primary

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 Richard Owen Johnson allows following entities to bill medicare on his behalf.

Entity Name	County Of Alpine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801070909 PECOS PAC ID: 9234177007 Enrollment ID: O20050421000905

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 Richard Owen 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 Richard Owen Johnson, MD Po Box 660, Mammoth Lakes, CA 93546-0660 Ph: (760) 924-4000	Dr Richard Owen Johnson, MD 85 Sierra Park Road, Suite A, Mammoth Lakes, CA 93546 Ph: (760) 924-4000

Reviews and Comments

Pediatrics Doctors in Mammoth Lakes, CA

Grace Charmie Kim, MD, MPP Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd # A, Mammoth Lakes, CA 93546 Phone: 760-924-4000
Dr. Kim Escudero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-924-4000 Fax: 760-924-4091
Sarah Ruberman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-942-4000
Dr. Kristin Elizabeth Collins, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 630-212-6605
Mary Bathen Bissell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Road, Mammoth Lakes, CA 93546 Phone: 760-924-4012

Dr Richard Owen Johnson, MD - Medicare Pediatrics in Mammoth Lakes, CA