Dr Ryan Tyler Johnson, DPM in Boise, ID - Medicare Podiatrist Provider

Dr Ryan Tyler Johnson, DPM is a medicare enrolled "Podiatrist" provider in Boise, Idaho. His current practice location is 900 N Liberty St Ste 306, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 367-7887.

Dr Ryan Tyler Johnson is licensed to practice in Idaho (license number P277) 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 1265059042.

Contact Information

	Dr Ryan Tyler Johnson, DPM
	900 N Liberty St Ste 306, Boise, ID 83704-8729
	(208) 367-7887
	(208) 367-7888

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ryan Tyler Johnson
Gender	Male
Speciality	Podiatrist
Location	900 N Liberty St Ste 306, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265059042
Provider Enumeration Date: 06/29/2020
Last Update Date: 04/08/2025

Medicare PECOS Information:

PECOS PAC ID: 7911368261
Enrollment ID: I20230802002318

Medical Identifiers

Medical identifiers for Dr Ryan Tyler Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265059042	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	P277 (Idaho)	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 Ryan Tyler Johnson allows following entities to bill medicare on his behalf.

Provider Name	Treasure Valley Podiatry Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487735254 PECOS PAC ID: 0345453049 Enrollment ID: O20101207000671

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 Ryan Tyler 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 Ryan Tyler Johnson, DPM 900 N Liberty St Ste 306, Boise, ID 83704-8729 Ph: (208) 367-7887	Dr Ryan Tyler Johnson, DPM 900 N Liberty St Ste 306, Boise, ID 83704-8729 Ph: (208) 367-7887

Reviews and Comments

Podiatrist in Boise, ID

Dr. William Scott Stano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 220 W Jefferson St, Boise, ID 83702 Phone: 208-343-8907 Fax: 208-343-9161
Dr. Gary J Millward, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6051 N Eagle Rd, Boise, ID 83713 Phone: 208-938-4670
Ankle & Foot Medical Center Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 222 N 2nd St, Suite 301, Boise, ID 83702 Phone: 208-344-3324 Fax: 208-344-4349
Clinton Clark Dpm Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6051 N Eagle Rd, Boise, ID 83713 Phone: 208-938-4670 Fax: 208-938-4675
Dr. Stanley B Leis, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 809 N Liberty St, Boise, ID 83704 Phone: 208-327-0627 Fax: 208-376-5258
Dr. Robert A Swensen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1075 N Curtis Road, Ste 300, Boise, ID 83706 Phone: 208-367-3330 Fax: 208-367-3331

Dr Ryan Tyler Johnson, DPM - Medicare Podiatrist in Boise, ID