Melanie Dyan Johansson, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Citrus Heights, California. Her current practice location is
6939 Sunrise Blvd Ste 106, Citrus Heights, California. You can reach out to her office (for appointments etc.) via phone at
(916) 352-7777.
Melanie Dyan Johansson is licensed to practice in California (license number C183026) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134417447.
Physician's Profile
Full Name | Melanie Dyan Johansson |
---|
Gender | Female |
---|
Speciality | Pain Medicine - Pain Medicine |
---|
Location | 6939 Sunrise Blvd Ste 106, Citrus Heights, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134417447
- Provider Enumeration Date: 07/20/2011
- Last Update Date: 05/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153581665
- Enrollment ID: I20230328002434
Medical Identifiers
Medical identifiers for Melanie Dyan Johansson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134417447 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0000X | Pain Medicine - Pain Medicine | C183026 (California) | 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. Melanie Dyan Johansson allows following entities to bill medicare on her behalf.
Entity Name | Spectrumcare Rehabilitation Medical |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1477578201 PECOS PAC ID: 2769450873 Enrollment ID: O20040916001372 |
---|
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. Melanie Dyan Johansson 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 |
Melanie Dyan Johansson, MD 6939 Sunrise Blvd Ste 106, Citrus Heights, CA 95610-3153 Ph: (916) 352-7777 | Melanie Dyan Johansson, MD 6939 Sunrise Blvd Ste 106, Citrus Heights, CA 95610-3153 Ph: (916) 352-7777 |
Reviews and Comments