Dr Mack Wray Johnson, OD is a medicare enrolled "Optometrist" provider in Guymon, Oklahoma. He graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Optometry. His current practice location is
301 Northridge Cir, Guymon, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 338-8437.
Dr Mack Wray Johnson is licensed to practice in Oklahoma (license number 2159) 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 1831107986.
Healthcare Provider's Profile
| Full Name | Dr Mack Wray Johnson |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 30 Years |
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| Location | 301 Northridge Cir, Guymon, Oklahoma |
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| 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 Mack Wray Johnson graduated from medical school in 1995
NPI Data:
- NPI Number: 1831107986
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7719908631
- Enrollment ID: I20120417000548
Medical Identifiers
Medical identifiers for Dr Mack Wray Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831107986 | NPI | - | NPPES |
| 100764570A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 2159 (Oklahoma) | 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. Dr Mack Wray Johnson allows following entities to bill medicare on his behalf.
| Provider Name | Guymon Vision Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1386857811 PECOS PAC ID: 8921029844 Enrollment ID: O20051207000629 |
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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 Mack Wray 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 |
Dr Mack Wray Johnson, OD 301 Northridge Cir, Guymon, OK 73942-2735 Ph: (580) 338-8437 | Dr Mack Wray Johnson, OD 301 Northridge Cir, Guymon, OK 73942-2735 Ph: (580) 338-8437 |
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