Dr Riley Johnson, DO in Fort Worth, TX

Dr Riley Johnson, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fort Worth, Texas. His current practice location is 209 Saint Louis Ave Ste 100, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 294-0934.

Dr Riley Johnson is licensed to practice in Texas (license number S5940) 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 1366939779.

Contact Information

	Dr Riley Johnson, DO
	209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1279
	(817) 294-0934
	(817) 294-1488

Map and Direction

Physician's Profile

Full Name	Dr Riley Johnson
Gender	Male
Speciality	Pain Medicine - Interventional Pain Medicine
Location	209 Saint Louis Ave Ste 100, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366939779
Provider Enumeration Date: 04/20/2018
Last Update Date: 06/16/2023

Medicare PECOS Information:

PECOS PAC ID: 5294085361
Enrollment ID: I20230707001737

Medical Identifiers

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

Identifier	Type	State	Issuer
1366939779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	S5940 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	S5940 (Texas)	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 Riley Johnson allows following entities to bill medicare on his behalf.

Entity Name	Axonos Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760182448 PECOS PAC ID: 0446619530 Enrollment ID: O20230707001560

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 Riley 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 Riley Johnson, DO 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1279 Ph: () -	Dr Riley Johnson, DO 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1279 Ph: (817) 294-0934

Reviews and Comments

Pain Medicine Doctors in Fort Worth, TX

Thomas M. Ratino, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1307 8th Ave.,, Suite 506, Fort Worth, TX 76104 Phone: 817-332-6092 Fax: 817-332-6015
Tim Paul Ratino, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1307 8th Ave Ste 506, Fort Worth, TX 76104 Phone: 817-332-6092 Fax: 817-332-6015
Vinay Dalal, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 413 West Rosedale, Fort Worth, TX 76104 Phone: 817-348-8082 Fax: 817-348-8772
Dr. Alfredo L. Marti, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 12th Ave Ste 170, Fort Worth, TX 76104 Phone: 817-810-0500
Krishna Luitel, PA-C Pain Medicine Medicare: Medicare Enrolled Practice Location: 416 S Henderson St, Fort Worth, TX 76104 Phone: 682-478-8123 Fax: 888-851-5356
Dr. Kent Mitchell, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Lipscomb St Ste 110, Fort Worth, TX 76104 Phone: 817-348-8600 Fax: 817-348-8602
Dr. Ashley M Classen, D.O. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 823 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-332-3664 Fax: 817-882-9888

Dr Riley Johnson, DO - Medicare Pain Medicine in Fort Worth, TX