Ronald Bruce Johnson, PHD in Lodi, WI - Medicare Clinical Psychologist Provider

Ronald Bruce Johnson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lodi, Wisconsin. He graduated from medical school in 1972 and has 52 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 336 Lodi St, Lodi, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 592-2080.

Ronald Bruce Johnson is licensed to practice in Wisconsin (license number 2177-057) 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 1598701906.

Contact Information

	Ronald Bruce Johnson, PHD
	336 Lodi St, Lodi, WI 53555-1418
	(608) 592-2080
	(608) 592-7120

Map and Direction

Healthcare Provider's Profile

Full Name	Ronald Bruce Johnson
Gender	Male
Speciality	Clinical Psychologist
Experience	52 Years
Location	336 Lodi St, Lodi, Wisconsin
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:

Ronald Bruce Johnson graduated from medical school in 1972

NPI Data:

NPI Number: 1598701906
Provider Enumeration Date: 06/22/2006
Last Update Date: 03/18/2013

Medicare PECOS Information:

PECOS PAC ID: 4082625033
Enrollment ID: I20060508000095

Medical Identifiers

Medical identifiers for Ronald Bruce Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598701906	NPI	-	NPPES
39127800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2177-057 (Wisconsin)	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. Ronald Bruce Johnson allows following entities to bill medicare on his behalf.

Entity Name	Midlands Psychological Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285676593 PECOS PAC ID: 6901817956 Enrollment ID: O20060505000509

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. Ronald Bruce 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
Ronald Bruce Johnson, PHD 336 Lodi St, Lodi, WI 53555-1418 Ph: (608) 592-2080	Ronald Bruce Johnson, PHD 336 Lodi St, Lodi, WI 53555-1418 Ph: (608) 592-2080

Ronald Bruce Johnson, PHD - Medicare Psychologist in Lodi, WI