Dr Wallace Scott Johnson, OD in Worthington, MN

Dr Wallace Scott Johnson, OD is a medicare enrolled "Optometrist" provider in Worthington, Minnesota. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Up North Eye Care Pa and his current practice location is 702 10th St, Worthington, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 376-5535.

Dr Wallace Scott Johnson is licensed to practice in Minnesota (license number 2196) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1346209020.

Contact Information

	Dr Wallace Scott Johnson, OD
	702 10th St, Worthington, MN 56187-2767
	(507) 376-5535
	(507) 376-4805

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Wallace Scott Johnson
Gender	Male
Speciality	Optometry
Experience	36 Years
Location	702 10th St, Worthington, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Wallace Scott Johnson graduated from medical school in 1988

NPI Data:

NPI Number: 1346209020
Provider Enumeration Date: 03/21/2006
Last Update Date: 03/03/2015

Medicare PECOS Information:

PECOS PAC ID: 5496871584
Enrollment ID: I20100927000490

Medical Identifiers

Medical identifiers for Dr Wallace Scott Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346209020	NPI	-	NPPES
63372	Other	MN	MPIN
970525200	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2196 (Minnesota)	Primary
152WC0802X	Optometrist - Corneal And Contact Management	2196 (Minnesota)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Up North Eye Care Pa	6709208887	2

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 Wallace Scott Johnson allows following entities to bill medicare on his behalf.

Provider Name	Up North Eye Care Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497389944 PECOS PAC ID: 6709208887 Enrollment ID: O20200619000565

Provider Name	Worthington Eye Clinic, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306452131 PECOS PAC ID: 9830501923 Enrollment ID: O20201214002861

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 Wallace Scott 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 Wallace Scott Johnson, OD Po Box 726, Worthington, MN 56187-0726 Ph: (507) 376-5535	Dr Wallace Scott Johnson, OD 702 10th St, Worthington, MN 56187-2767 Ph: (507) 376-5535

Reviews and Comments

Optometrist in Worthington, MN

Joyful Eyes Optometry Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 702 10th St, Worthington, MN 56187 Phone: 507-376-5355 Fax: 507-376-4805
Dr. Lezlie Pearl Jones, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 702 10th St, Worthington, MN 56187 Phone: 507-376-5535
Avera Medical Group Optometry Worthington Optometrist Medicare: Not Enrolled in Medicare Practice Location: 702 10th St, Worthington, MN 56187 Phone: 507-376-5535
Johnson Eye Clinic, P.a Optometrist Medicare: Not Enrolled in Medicare Practice Location: 702 10th St, Worthington, MN 56187 Phone: 507-376-5535 Fax: 507-376-4805
Dr. Stephanie Lynn Thier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1607 Mcmillan St, Worthington, MN 56187 Phone: 507-727-3937 Fax: 507-727-3939
Worthington Eye Clinic, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 702 10th St, Worthington, MN 56187 Phone: 507-376-5535
Dr. Scott Joseph Haas, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1755 N Humiston Ave, Worthington, MN 56187 Phone: 507-372-7811 Fax: 507-372-2778

Dr Wallace Scott Johnson, OD - Medicare Optometrist in Worthington, MN