Matthew Wallace Johnson, DO in Bonners Ferry, ID

Matthew Wallace Johnson, DO is a medicare enrolled "Emergency Medicine" physician in Bonners Ferry, Idaho. He graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Emergency Medicine. His current practice location is 6640 Kaniksu St, Bonners Ferry, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 267-3141.

Matthew Wallace Johnson is licensed to practice in Idaho (license number 9171859) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1225539182.

Contact Information

	Matthew Wallace Johnson, DO
	6640 Kaniksu St, Bonners Ferry, ID 83805-7532
	(208) 267-3141
	Not Available

Map and Direction

Physician's Profile

Full Name	Matthew Wallace Johnson
Gender	Male
Speciality	Emergency Medicine
Experience	5 Years
Location	6640 Kaniksu St, Bonners Ferry, Idaho
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Matthew Wallace Johnson graduated from medical school in 2020

NPI Data:

NPI Number: 1225539182
Provider Enumeration Date: 02/26/2018
Last Update Date: 07/15/2025

Medicare PECOS Information:

PECOS PAC ID: 0941623391
Enrollment ID: I20250624001596

Medical Identifiers

Medical identifiers for Matthew Wallace Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225539182	NPI	-	NPPES
2524046	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	335074 (Louisiana)	Secondary
207R00000X	Internal Medicine	9171859 (Idaho)	Secondary
207P00000X	Emergency Medicine	9171859 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Boundary Community Hospital	Bonners ferry, ID	Hospital

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. Matthew Wallace 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
Matthew Wallace Johnson, DO 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 Ph: (208) 267-3141	Matthew Wallace Johnson, DO 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 Ph: (208) 267-3141

Reviews and Comments

Emergency Medicine Doctors in Bonners Ferry, ID

Mark Pruitt, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141
Robert Yost, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Boundar Community Hospital, Bonners Ferry, ID 83805 Phone: 208-267-3141
William Lamont Worden, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 Fax: 208-267-2202
Dr. Jackson Joseph Bell, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 Fax: 208-267-4838
Stuart Kendall Willis Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-4850 Fax: 208-267-2202
Dr. Kenton Bing-hock Goh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 Fax: 208-267-2202

Matthew Wallace Johnson, DO - Medicare Emergency Medicine in Bonners Ferry, ID