Mr Benjamin Douglas Johnson, PA-C, RT (R) is a medicare enrolled "Radiology Practitioner Assistant" physician in Fairbanks, Alaska. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Radiology Consultants A Professional Corp and his current practice location is
1650 Cowles St, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 458-3900.
Mr Benjamin Douglas Johnson is licensed to practice in Alaska (license number 138210) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821516345.
Physician's Profile
| Full Name | Mr Benjamin Douglas Johnson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 1650 Cowles St, Fairbanks, Alaska |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Benjamin Douglas Johnson graduated from medical school in 2018
NPI Data:
- NPI Number: 1821516345
- Provider Enumeration Date: 09/05/2017
- Last Update Date: 10/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214276948
- Enrollment ID: I20190225001593
Medical Identifiers
Medical identifiers for Mr Benjamin Douglas Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821516345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 138210 (Alaska) | Secondary |
| 207X00000X | Orthopaedic Surgery | 1760938021 (Alaska) | Secondary |
| 2085R0203X | Radiology - Therapeutic Radiology | 138210 (Alaska) | Secondary |
| 243U00000X | Radiology Practitioner Assistant | 138210 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Radiology Consultants A Professional Corp | 0749173029 | 11 |
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. Mr Benjamin Douglas 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 |
|---|
Mr Benjamin Douglas Johnson, PA-C, RT (R)
4311 11th Ave Ne Ste 200,
Seattle, WA 98105-6367
Ph: () - | Mr Benjamin Douglas Johnson, PA-C, RT (R)
1650 Cowles St,
Fairbanks, AK 99701-5907
Ph: (907) 458-3900 |
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