Paul M Johnson, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Daytona Beach, Florida. He went to University Of North Dakota School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Halifax Healthcare Systems Inc and his current practice location is
311 N Clyde Morris Blvd, Daytona Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 425-4267.
Paul M Johnson is licensed to practice in Florida (license number ME160203) 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 1780767616.
Physician's Profile
| Full Name | Paul M Johnson |
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| Gender | Male |
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| Speciality | Sports Medicine |
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| Experience | 29 Years |
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| Location | 311 N Clyde Morris Blvd, Daytona Beach, Florida |
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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:
- Paul M Johnson attended and graduated from University Of North Dakota School Of Medicine in 1996
NPI Data:
- NPI Number: 1780767616
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 12/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911916895
- Enrollment ID: I20230210000667
Medical Identifiers
Medical identifiers for Paul M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780767616 | NPI | - | NPPES |
| 000093475 | Other | MT | BLUE CROSS |
| 080192535 | Other | | RAILROAD MEDICARE |
| 0058327 | Medicaid | MT | |
| 12219 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | ME160203 (Florida) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | ME160203 (Florida) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Halifax Healthcare Systems Inc | 1254238090 | 303 |
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. Paul M Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Halifax Healthcare Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245283530
PECOS PAC ID: 1254238090
Enrollment ID: O20031218000443 |
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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. Paul M 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 |
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Paul M Johnson, MD
1401 25th St S,
Great Falls, MT 59405-6010
Ph: (406) 731-8888 | Paul M Johnson, MD
311 N Clyde Morris Blvd,
Daytona Beach, FL 32114-2781
Ph: (386) 425-4267 |
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