Dr Keith Russell Johnson, MD - Medicare Anesthesiology in Macon, GA

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Dr Keith Russell Johnson, MD is a medicare enrolled "Anesthesiology" physician in Macon, Georgia. He went to University Of Alabama School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Se Georgia Anesthesia, Llc, Sentry Anesthesia Management, Llc and his current practice location is 777 Hemlock St, Macon, Georgia. You can reach out to his office (for appointments etc.) via phone at (478) 331-1000.

Dr Keith Russell Johnson is licensed to practice in Georgia (license number 53765) 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 1851308639.

Contact Information

Dr Keith Russell Johnson, MD
777 Hemlock St,
Macon, GA 31201-2102
(478) 331-1000
Not Available

Map and Direction




Physician's Profile

Full NameDr Keith Russell Johnson
GenderMale
SpecialityAnesthesiology
Experience22 Years
Location777 Hemlock St, Macon, Georgia
Accepts Medicare AssignmentsMay 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 Keith Russell Johnson attended and graduated from University Of Alabama School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1851308639
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365421146
  • Enrollment ID: I20040715000715

Medical Identifiers

Medical identifiers for Dr Keith Russell Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851308639NPI-NPPES
882501185GMedicaidGA
882501185IMedicaidGA
882501185EMedicaidGA
882501185JMedicaidGA
882501185CMedicaidGA
P00352150OtherGARR MEDICARE
882501185HMedicaidGA
2500082985OtherGACHAMPUS INDIVIDUAL
882501185FMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 53765 (Georgia)Primary
207L00000XAnesthesiology 29538 (South Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Meadows Regional Medical CenterVidalia, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Se Georgia Anesthesia, Llc842646613718
Sentry Anesthesia Management, Llc9436372323209

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 Keith Russell Johnson allows following entities to bill medicare on his behalf.
Entity NameCoffee Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437120946
PECOS PAC ID: 4587656012
Enrollment ID: O20040402000287
Entity NameMountainside Anesthesia Consultants, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346327152
PECOS PAC ID: 2365430899
Enrollment ID: O20040504000685
Entity NameCapitol Anesthesiology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245287192
PECOS PAC ID: 5799774642
Enrollment ID: O20040507000216
Entity NameAmerican Anesthesiology Associates Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528068673
PECOS PAC ID: 7618934779
Enrollment ID: O20041210000442
Entity NameSentry Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571
Entity NameAms Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487107157
PECOS PAC ID: 3870880792
Enrollment ID: O20160921000551
Entity NameMak Anesthesia Holdings, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563
Entity NameSe Georgia Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518542919
PECOS PAC ID: 8426466137
Enrollment ID: O20210419001856
Entity NameFortis Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659960276
PECOS PAC ID: 8325446305
Enrollment ID: O20211005002270

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 Keith Russell 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 AddressPractice Location Address
Dr Keith Russell Johnson, MD
Po Box 18824,
Greensboro, NC 27419-8824

Ph: (336) 553-1659		Dr Keith Russell Johnson, MD
777 Hemlock St,
Macon, GA 31201-2102

Ph: (478) 331-1000

Reviews and Comments


Anesthesiology Doctors in Macon, GA

Dr. Mauro Faibicher, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 866-507-5244    Fax: 855-851-4405
Keith N Phillippi, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217
Phone: 478-746-5644    Fax: 478-745-4849
Dr. David M Kalish Iii, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 866-507-5244    Fax: 855-851-4405
Hubert R Buxton Iii, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217
Phone: 478-746-5644    Fax: 478-745-4849
Manojna P Sanjeev, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217
Phone: 478-746-5644    Fax: 478-745-4849
Boris Pechenik, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 478-633-1000    
Pravin K Jain, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217
Phone: 478-746-5644    Fax: 478-745-4849

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.