Dr William Walter Johnson, MD in Jackson, MS - Medicare Preventive Medicine

Dr William Walter Johnson, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Jackson, Mississippi. His current practice location is 1935 Lakeland Dr Ste 900, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 840-1454.

Dr William Walter Johnson is licensed to practice in Mississippi (license number 14886) 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 1053315028.

Contact Information

	Dr William Walter Johnson, MD
	1935 Lakeland Dr Ste 900, Jackson, MS 39216-5028
	(601) 840-1454
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr William Walter Johnson
Gender	Male
Speciality	Preventive Medicine - Addiction Medicine
Location	1935 Lakeland Dr Ste 900, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053315028
Provider Enumeration Date: 06/08/2005
Last Update Date: 07/28/2021

Medicare PECOS Information:

PECOS PAC ID: 2264505379
Enrollment ID: I20080723000462

Medical Identifiers

Medical identifiers for Dr William Walter Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053315028	NPI	-	NPPES
09015923	Medicaid	MS
743030196	Other	MS	PRACTICE TAX ID #
00117218	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	14886 (Mississippi)	Secondary
2083A0300X	Preventive Medicine - Addiction Medicine	14886 (Mississippi)	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. Dr William Walter Johnson allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802

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. Dr William Walter 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
Dr William Walter Johnson, MD 536 Royal Pecan Way, Collierville, TN 38017-1734 Ph: (662) 538-8009	Dr William Walter Johnson, MD 1935 Lakeland Dr Ste 900, Jackson, MS 39216-5028 Ph: (601) 840-1454

Reviews and Comments

Preventive Medicine Doctors in Jackson, MS

Dr. Maharaj Alejandro Tomar, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Dr. Jacquelyn Mares, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-2828
Paul E. Byers, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-364-2666
Dr. Abedulnaasseer O. Mohammedelamien, M.D, MS Preventive Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-3120 Fax: 601-815-3123
Dr. Joshua Russell Mann, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8988

Dr William Walter Johnson, MD - Medicare Preventive Medicine in Jackson, MS