Mark D Johnson, OD is a medicare enrolled "Optometrist" provider in Scott Afb, Illinois. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Clarkson Optometry Illinois, Pc and his current practice location is
310 W Losey St, Scott Afb, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 256-6267.
Mark D Johnson is licensed to practice in Illinois (license number 046010751) 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 1881665073.
Healthcare Provider's Profile
| Full Name | Mark D Johnson |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 38 Years |
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| Location | 310 W Losey St, Scott Afb, Illinois |
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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. |
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Medical Education and Training:
- Mark D Johnson graduated from medical school in 1986
NPI Data:
- NPI Number: 1881665073
- Provider Enumeration Date: 01/27/2006
- Last Update Date: 08/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 0345568770
- Enrollment ID: I20150415002360
Medical Identifiers
Medical identifiers for Mark D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881665073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 18002934A (Indiana) | Secondary |
| 152W00000X | Optometrist | 046010751 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Clarkson Optometry Illinois, Pc | 7012292147 | 17 |
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. Mark D Johnson allows following entities to bill medicare on his behalf.
| Provider Name | Clarkson Optometry Illinois, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548635758
PECOS PAC ID: 7012292147
Enrollment ID: O20170331001568 |
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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. Mark D 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 |
|---|
Mark D Johnson, OD
310 W Losey St,
Scott Afb, IL 62225-5250
Ph: (618) 256-7361 | Mark D Johnson, OD
310 W Losey St,
Scott Afb, IL 62225
Ph: (618) 256-6267 |
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