Dr Eric D Johansen, OD in Gallup, NM - Medicare Optometry Provider

Dr Eric D Johansen, OD is a medicare enrolled "Optometrist" provider in Gallup, New Mexico. He went to Pacific University - College Of Optometry and graduated in 2012 and has 12 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Rf Eye Pc and his current practice location is 516 E. Nizhoni Blvd., Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 722-1000.

Dr Eric D Johansen is licensed to practice in Arizona (license number 1897) 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 1598028201.

Contact Information

	Dr Eric D Johansen, OD
	516 E. Nizhoni Blvd., Gallup, NM 87301-1337
	(505) 722-1000
	(505) 722-1747

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Eric D Johansen
Gender	Male
Speciality	Optometry
Experience	12 Years
Location	516 E. Nizhoni Blvd., Gallup, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Eric D Johansen attended and graduated from Pacific University - College Of Optometry in 2012

NPI Data:

NPI Number: 1598028201
Provider Enumeration Date: 06/18/2012
Last Update Date: 06/17/2013

Medicare PECOS Information:

PECOS PAC ID: 4880843416
Enrollment ID: I20130723000944

Medical Identifiers

Medical identifiers for Dr Eric D Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598028201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	8345018-9934 (Utah)	Secondary
152W00000X	Optometrist	1897 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rf Eye Pc	5092702464	3

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. Dr Eric D Johansen allows following entities to bill medicare on his behalf.

Provider Name	Rf Eye Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396969713 PECOS PAC ID: 5092702464 Enrollment ID: O20040428000091

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. Dr Eric D Johansen 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
Dr Eric D Johansen, OD P.o. Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1324	Dr Eric D Johansen, OD 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 Ph: (505) 722-1000

Reviews and Comments

Optometrist in Gallup, NM

Tayde Analy Contreras, OD Optometrist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Dr. Farid Elie Khoury, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1500 S 2nd St Ste 5, Gallup, NM 87301 Phone: 505-979-0894 Fax: 505-726-2871
Eye Associates Of New Mexico Optometrist Medicare: Not Enrolled in Medicare Practice Location: 311 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-2268 Fax: 505-863-2874
Gallup Eye Group Llc Optometrist Medicare: Medicare Enrolled Practice Location: 816 Boardman Dr, Gallup, NM 87301 Phone: 505-339-2015 Fax: 505-492-0904
Dr. Walter Ernest Balfour, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 219 W Coal Ave, Gallup, NM 87301 Phone: 505-863-6448 Fax: 505-722-6491
Jesse Allen Hogan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1326
Dr. Jacqueline Agnes Grimm, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000

Dr Eric D Johansen, OD - Medicare Optometrist in Gallup, NM