Dr Eckardt Johanning, MD, MSC is a
Preventive Medicine - Preventive Medicine/occupational Environmental Medicine physician based in Speculator, New York. Dr Eckardt Johanning is licensed to practice in New York (license number 175278-1) and his current practice location is Po Box 502, Speculator, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 229-0839.
NPI number for Dr Eckardt Johanning is 1144396656 and his current mailing address is Po Box 502, Speculator, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144396656.
Physician's Profile
| Full Name | Dr Eckardt Johanning |
|---|
| Gender | Male |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | Po Box 502, Speculator, New York |
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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: 1144396656
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 07/12/2026
Medical Identifiers
Medical identifiers for Dr Eckardt Johanning such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144396656 | NPI | - | NPPES |
| 175278-1 | Other | NY | LICENCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 175278-1 (New York) | Primary |
| 207Q00000X | Family Medicine | 175278-1 (New York) | Secondary |
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 Eckardt Johanning 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 Eckardt Johanning, MD, MSC
Po Box 502,
Speculator, NY 12164-0502
Ph: (518) 459-3336 | Dr Eckardt Johanning, MD, MSC
Po Box 502,
Speculator, NY 12164-0502
Ph: (518) 229-0839 |
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