Robert Eugene Johnson, MD is a medicare enrolled "Otolaryngology" physician in Vidalia, Georgia. His current practice location is
1707 Meadows Ln, Suite C, Vidalia, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 537-3384.
Robert Eugene Johnson is licensed to practice in Georgia (license number 035071) 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 1093887820.
Physician's Profile
| Full Name | Robert Eugene Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology |
|---|
| Location | 1707 Meadows Ln, Vidalia, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1093887820
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 10/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 2567424997
- Enrollment ID: I20041028000720
Medical Identifiers
Medical identifiers for Robert Eugene Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093887820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 035071 (Georgia) | 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. Robert Eugene Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Southcoast Medical Group Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1467451922
PECOS PAC ID: 9032013271
Enrollment ID: O20040109000192 |
|---|
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. Robert Eugene 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 |
|---|
Robert Eugene Johnson, MD
Po Box 407,
Vidalia, GA 30475-0407
Ph: (912) 537-4986 | Robert Eugene Johnson, MD
1707 Meadows Ln, Suite C,
Vidalia, GA 30474-7200
Ph: (912) 537-3384 |
Reviews and Comments