Quentin Wandyke Johnson, MD - Medicare Family Medicine in Rome, NY

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Quentin Wandyke Johnson, MD is a medicare enrolled "Family Medicine" physician in Rome, New York. His current practice location is 6514 State Route 26, Rome, New York. You can reach out to his office (for appointments etc.) via phone at (315) 339-5232.

Quentin Wandyke Johnson is licensed to practice in New York (license number MD296906) 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 1124257886.

Contact Information

Quentin Wandyke Johnson, MD
6514 State Route 26,
Rome, NY 13440-8079
(315) 339-5232
(315) 339-3698

Map and Direction




Physician's Profile

Full NameQuentin Wandyke Johnson
GenderMale
SpecialityFamily Medicine
Location6514 State Route 26, Rome, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124257886
  • Provider Enumeration Date: 07/02/2009
  • Last Update Date: 12/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7618129115
  • Enrollment ID: I20190108003383

Medical Identifiers

Medical identifiers for Quentin Wandyke Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124257886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD296906 (New York)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. Quentin Wandyke Johnson allows following entities to bill medicare on his behalf.
Entity NameMvhs Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770690737
PECOS PAC ID: 2769380252
Enrollment ID: O20031222000433
Entity NameNew York General Medical Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700315538
PECOS PAC ID: 7810255494
Enrollment ID: O20180103003151
Entity NamePrimary Care Metabolic Disorders Medical Practice PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942833835
PECOS PAC ID: 5799116737
Enrollment ID: O20200507002164
Entity NameNV Pacs 2 LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210831002021
Entity NameCS Pacs 3 Northeast, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093598898
PECOS PAC ID: 0941656607
Enrollment ID: O20231101000632

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. Quentin Wandyke 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
Quentin Wandyke Johnson, MD
6514 State Route 26,
Rome, NY 13440-8079

Ph: (315) 339-5232		Quentin Wandyke Johnson, MD
6514 State Route 26,
Rome, NY 13440-8079

Ph: (315) 339-5232

Reviews and Comments


Family Medicine Doctors in Rome, NY

Ms. Antonina Louise Calcavecchio, D.O.
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Practice Location: 1617 N James St, Rome, NY 13440
Phone: 315-336-8260    
Dr. Aysen Gurrea, D.O.
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Practice Location: 1500 N James St, Rome, NY 13440
Phone: 315-338-7000    
Nicoletta Tallandini Cotronea, M.D.
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Practice Location: 608 N George St, Rome, NY 13440
Phone: 315-336-8260    Fax: 315-314-8536
Michael S Parslow, DO
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Practice Location: 1500 N James St, Rome, NY 13440
Phone: 315-338-7184    Fax: 315-339-1975
Anthony J Viglietta, M.D.
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Practice Location: 125 Brookley Rd, Rome, NY 13441
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Gibran Tallim, M.D.
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Practice Location: 1801 Black River Blvd N, Rome, NY 13440
Phone: 315-337-3770    
Suramya Sivarajan, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1617 N James St, Rome, NY 13440
Phone: 315-336-8260    Fax: 315-327-9770

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.