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

Timothy Samuel Johnson, MD is a medicare enrolled "Family Medicine" physician in Atkins, Arkansas. He went to University Of Oklahoma College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Marys Physician Services Llc and 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 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 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 Practice
Experience25 Years
Location1601 N Church St, Atkins, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy Samuel Johnson attended and graduated from University Of Oklahoma College Of Medicine in 1999
  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

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Marys Regional Medical CenterRussellville, ARHospital
Baptist Health Medical Center-little RockLittle rock, ARHospital
Baptist Health Medical Center- ConwayConway, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Physician Services Llc498169803262

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

Chris Howell Horan, MD
Family Medicine
Medicare: Not Enrolled in Medicare
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.