Lisa Noel Johnson, MD in Portland, OR - Medicare Diagnostic Radiology

Lisa Noel Johnson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Portland, Oregon. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2017 and has 9 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Bridgeport Medical Imaging, Llc, University Professional Services, Trg, Llc, Center For Medical Imaging Llc and her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 418-0990.

Lisa Noel Johnson is licensed to practice in Oregon (license number MD215032) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578095352.

Contact Information

	Lisa Noel Johnson, MD
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 418-0990
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisa Noel Johnson
Gender	Female
Speciality	Diagnostic Radiology
Experience	9 Years
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Noel Johnson attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2017

NPI Data:

NPI Number: 1578095352
Provider Enumeration Date: 03/30/2017
Last Update Date: 12/10/2024

Medicare PECOS Information:

PECOS PAC ID: 4183901176
Enrollment ID: I20230718002782

Medical Identifiers

Medical identifiers for Lisa Noel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578095352	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD215032 (Oregon)	Primary
2085R0202X	Radiology - Diagnostic Radiology	MD61194239 (Washington)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ohsu Hospital And Clinics	Portland, OR	Hospital
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bridgeport Medical Imaging, Llc	3173670411	28
University Professional Services	4880760107	1609
Trg, Llc	8820283617	33
Center For Medical Imaging Llc	9335191543	27

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. Lisa Noel Johnson allows following entities to bill medicare on her behalf.

Entity Name	Center For Medical Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275505448 PECOS PAC ID: 9335191543 Enrollment ID: O20050216000427

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

Entity Name	Bridgeport Medical Imaging, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922253525 PECOS PAC ID: 3173670411 Enrollment ID: O20090402000485

Entity Name	Trg, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467771121 PECOS PAC ID: 8820283617 Enrollment ID: O20101105000754

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. Lisa Noel 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
Lisa Noel Johnson, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 418-0990	Lisa Noel Johnson, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 418-0990

Reviews and Comments

Radiology Doctors in Portland, OR

Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982
Kiri Ann Cook, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 N Broadway, Portland, OR 97227 Phone: 503-280-1223
Deborah Janet Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Steven Lloyd Primack, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Dr. James S Putnam, MD Radiology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990

Lisa Noel Johnson, MD - Medicare Diagnostic Radiology in Portland, OR