Walter E Johnston, MD in Vicksburg, MS - Medicare Family Medicine

Walter E Johnston, MD is a medicare enrolled "Family Medicine" physician in Vicksburg, Mississippi. His current practice location is 1907 Mission 66, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 636-1173.

Walter E Johnston is licensed to practice in Mississippi (license number 07023) 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 1952332181.

Contact Information

	Walter E Johnston, MD
	1907 Mission 66, Vicksburg, MS 39180-3711
	(601) 636-1173
	Not Available

Map and Direction

Physician's Profile

Full Name	Walter E Johnston
Gender	Male
Speciality	Family Medicine
Location	1907 Mission 66, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952332181
Provider Enumeration Date: 07/05/2006
Last Update Date: 09/10/2020

Medicare PECOS Information:

PECOS PAC ID: 1355407776
Enrollment ID: I20090309000575

Medical Identifiers

Medical identifiers for Walter E Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952332181	NPI	-	NPPES
00014424	Medicaid	MS
5891536	Other	MS	AETNA
1141411	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	07023 (Mississippi)	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. Walter E Johnston allows following entities to bill medicare on his behalf.

Entity Name	Vicksburg Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738

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. Walter E Johnston 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
Walter E Johnston, MD 1115 N Frontage Rd, Vicksburg, MS 39180-5102 Ph: (601) 634-8790	Walter E Johnston, MD 1907 Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-1173

Reviews and Comments

Family Medicine Doctors in Vicksburg, MS

Dr. Robert C Masterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-8244
Carlos Alberto Latorre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097
Stanley R Easterling, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 104 Mcauley Dr, Vicksburg, MS 39183 Phone: 601-638-7271
George Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Mission 66, Vicksburg, MS 39180 Phone: 601-619-3838
John R Barnes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969
Dr. Robert Michael Cannon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969
Breanna Heard-pinho, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-1050 Fax: 601-631-2337

Walter E Johnston, MD - Medicare Family Medicine in Vicksburg, MS