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

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Matthew Wallace Johnson, DO is a medicare enrolled "Emergency Medicine" physician in Bonners Ferry, Idaho. 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 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 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 NameMatthew Wallace Johnson
GenderMale
SpecialityEmergency Medicine
Location6640 Kaniksu St, Bonners Ferry, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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: I20230710001593

Medical Identifiers

Medical identifiers for Matthew Wallace Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225539182NPI-NPPES
2524046MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 335074 (Louisiana)Secondary
207R00000XInternal Medicine 9171859 (Idaho)Secondary
207P00000XEmergency Medicine 9171859 (Idaho)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. Matthew Wallace Johnson allows following entities to bill medicare on his behalf.
Entity NameVan Meter Emergency Physicians Inc. Apmc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649410697
PECOS PAC ID: 4981761590
Enrollment ID: O20090326000385

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 AddressPractice 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: Medicare Enrolled
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.