Kimberly A Johnson, OD is a medicare enrolled "Optometrist" provider in Gothenburg, Nebraska. She went to University Of Houston - College Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. Her current practice location is
902 Avenue D Ste 102b, Gothenburg, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(308) 537-2020.
Kimberly A Johnson is licensed to practice in Nebraska (license number 1232) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407887755.
Healthcare Provider's Profile
| Full Name | Kimberly A Johnson |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 20 Years |
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| Location | 902 Avenue D Ste 102b, Gothenburg, Nebraska |
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| Accepts Medicare Assignments | Yes. She 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:
- Kimberly A Johnson attended and graduated from University Of Houston - College Of Optometry in 2004
NPI Data:
- NPI Number: 1407887755
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 02/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 5991761520
- Enrollment ID: I20041206000937
Medical Identifiers
Medical identifiers for Kimberly A Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407887755 | NPI | - | NPPES |
| 2804450 | Other | NE | MEDICARE PROVIDER NUMBER |
| 10025277400 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1232 (Nebraska) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 1232 (Nebraska) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 1232 (Nebraska) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | 1232 (Nebraska) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 1232 (Nebraska) | Secondary |
| 152WS0006X | Optometrist - Sports Vision | 1232 (Nebraska) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | 1232 (Nebraska) | Secondary |
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. Kimberly A Johnson allows following entities to bill medicare on her behalf.
| Provider Name | Kimberly Johnson O.d., L.l.c |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245258292
PECOS PAC ID: 9032113972
Enrollment ID: O20060906000583 |
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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. Kimberly A 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 |
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Kimberly A Johnson, OD
1214 Countryside Ln,
Gothenburg, NE 69138-2500
Ph: (308) 537-3166 | Kimberly A Johnson, OD
902 Avenue D Ste 102b,
Gothenburg, NE 69138-1955
Ph: (308) 537-2020 |
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