Dr Tad Mark Johnson, MD is a
Allergy & Immunology - Allergy physician based in Janesville, Wisconsin. Dr Tad Mark Johnson is licensed to practice in Wisconsin (license number 25307) and his current practice location is 3524 E Milwaukee St, Janesville, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 756-7100.
NPI number for Dr Tad Mark Johnson is 1659339919 and his current mailing address is 3524 E Milwaukee St, Janesville, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659339919.
Physician's Profile
| Full Name | Dr Tad Mark Johnson |
|---|
| Gender | Male |
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| Speciality | Allergy & Immunology - Allergy |
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| Location | 3524 E Milwaukee St, Janesville, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659339919
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 09/06/2012
Medical Identifiers
Medical identifiers for Dr Tad Mark Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659339919 | NPI | - | NPPES |
| JOHNSTAD | Other | WI | MERCYCARE INSURANCE |
| 1659339919 | Other | WI | BCBSWI |
| 1659339919 | Medicaid | WI | |
| 30661900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KA0200X | Allergy & Immunology - Allergy | 25307 (Wisconsin) | 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 Tad Mark Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tad Mark Johnson, MD
3524 E Milwaukee St,
Janesville, WI 53546-1626
Ph: (608) 756-7100 | Dr Tad Mark Johnson, MD
3524 E Milwaukee St,
Janesville, WI 53546-1626
Ph: (608) 756-7100 |
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