Mr Peter Benjamin Johnson, DPT in Twenty-nine Palms, CA - Medicare Physical Therapist Provider

Mr Peter Benjamin Johnson, DPT is a medicare enrolled "Physical Therapist" provider in Twenty-nine Palms, California. His current practice location is 1145 Sturgis Road, Twenty-nine Palms, California. You can reach out to his office (for appointments etc.) via phone at (760) 830-2190.

Mr Peter Benjamin Johnson is licensed to practice in Michigan (license number 5501018402) 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 1225540255.

Contact Information

	Mr Peter Benjamin Johnson, DPT
	1145 Sturgis Road, Twenty-nine Palms, CA 92278
	(760) 830-2190
	(586) 439-5573

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Peter Benjamin Johnson
Gender	Male
Speciality	Physical Therapist
Location	1145 Sturgis Road, Twenty-nine Palms, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225540255
Provider Enumeration Date: 10/31/2017
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2668738410
Enrollment ID: I20171110000126

Medical Identifiers

Medical identifiers for Mr Peter Benjamin Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225540255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	(Michigan)	Secondary
225100000X	Physical Therapist	5501018402 (Michigan)	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. Mr Peter Benjamin Johnson allows following entities to bill medicare on his behalf.

Provider Name	Vms Of Macomb Twp Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750527438 PECOS PAC ID: 7012072952 Enrollment ID: O20090210000390

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. Mr Peter Benjamin 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
Mr Peter Benjamin Johnson, DPT 1773 Star Batt Dr, Rochester Hills, MI 48309-3708 Ph: (248) 601-9207	Mr Peter Benjamin Johnson, DPT 1145 Sturgis Road, Twenty-nine Palms, CA 92278 Ph: (760) 830-2190

Mr Peter Benjamin Johnson, DPT - Medicare Physical Therapist in Twenty-nine Palms, CA