Timothy Samuel Johnson, MD - Medicare Family Medicine in Atkins, AR

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Timothy Samuel Johnson, MD is a medicare enrolled "Family Medicine" physician in Atkins, Arkansas. His current practice location is 1601 N Church St, Atkins, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 641-2255.

Timothy Samuel Johnson is licensed to practice in Arkansas (license number E-3297) 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 1023074119.

Contact Information

Timothy Samuel Johnson, MD
1601 N Church St,
Atkins, AR 72823-3234
(479) 641-2255
(479) 641-1889

Map and Direction




Physician's Profile

Full NameTimothy Samuel Johnson
GenderMale
SpecialityFamily Medicine
Location1601 N Church St, Atkins, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023074119
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 02/18/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3375536303
  • Enrollment ID: I20040406000815

Medical Identifiers

Medical identifiers for Timothy Samuel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023074119NPI-NPPES
146729001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine E-3297 (Arkansas)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. Timothy Samuel Johnson allows following entities to bill medicare on his behalf.
Entity NameSt Marys Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124084991
PECOS PAC ID: 4981698032
Enrollment ID: O20040609000759

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. Timothy Samuel 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
Timothy Samuel Johnson, MD
1601 N Church St,
Atkins, AR 72823-3234

Ph: (479) 641-2255		Timothy Samuel Johnson, MD
1601 N Church St,
Atkins, AR 72823-3234

Ph: (479) 641-2255

Reviews and Comments


Family Medicine Doctors in Atkins, AR

Dr. Carroll Don Johnson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1601 N Church St, Atkins, AR 72823
Phone: 479-480-4066    
Chris Howell Horan, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1601 N Church St, Atkins, AR 72823
Phone: 479-968-2345    Fax: 479-641-1889

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.