Mark R Johnson, MD in Springfield, IL

Mark R Johnson, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Springfield, Illinois. His current practice location is 301 N 8th St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-0702.

Mark R Johnson is licensed to practice in Illinois (license number 036-093433) 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 1205811775.

Contact Information

	Mark R Johnson, MD
	301 N 8th St, Springfield, IL 62701-1041
	(217) 545-0702
	(217) 545-5834

Map and Direction

Physician's Profile

Full Name	Mark R Johnson
Gender	Male
Speciality	Pediatrics - Pediatric Pulmonology
Location	301 N 8th St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205811775
Provider Enumeration Date: 12/07/2005
Last Update Date: 11/17/2020

Medicare PECOS Information:

PECOS PAC ID: 6103894092
Enrollment ID: I20040920000085

Medical Identifiers

Medical identifiers for Mark R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205811775	NPI	-	NPPES
036093433	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0214X	Pediatrics - Pediatric Pulmonology	036-093433 (Illinois)	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. Mark R Johnson allows following entities to bill medicare on his behalf.

Entity Name	Siu Physicians & Surgeons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769

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. Mark R 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
Mark R Johnson, MD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-7578	Mark R Johnson, MD 301 N 8th St, Springfield, IL 62701-1041 Ph: (217) 545-0702

Reviews and Comments

Pediatrics Doctors in Springfield, IL

Stephanie E. Wojtowicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424
Claudine Gillison, Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541
Gopinathan Gangadharan Nambiar, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-391-0392
Dr. Susan M. Soler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424
Dr. Kimberly Nichole Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-6654
John Padanilam, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N 9th St # 4a, Springfield, IL 62702 Phone: 217-545-8000
Misty M. Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541

Mark R Johnson, MD - Medicare Pediatrics in Springfield, IL