Kelly Cooke Johnson, AUD in Raleigh, NC - Medicare Audiologist Provider

Kelly Cooke Johnson, AUD is a medicare enrolled "Audiologist" provider in Raleigh, North Carolina. Her current practice location is 3024 New Bern Ave, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 350-7856.

Kelly Cooke Johnson is licensed to practice in North Carolina (license number 14997) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568039378.

Contact Information

	Kelly Cooke Johnson, AUD
	3024 New Bern Ave, Raleigh, NC 27610-1247
	(919) 350-7856
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Cooke Johnson
Gender	Female
Speciality	Audiologist
Location	3024 New Bern Ave, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568039378
Provider Enumeration Date: 06/09/2021
Last Update Date: 07/23/2021

Medicare PECOS Information:

PECOS PAC ID: 6406259381
Enrollment ID: I20210729002681

Medical Identifiers

Medical identifiers for Kelly Cooke Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568039378	NPI	-	NPPES
1568039378	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	(North Carolina)	Secondary
2355A2700X	Specialist/technologist - Audiology Assistant	(* (Not Available))	Secondary
231H00000X	Audiologist	14997 (North Carolina)	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. Kelly Cooke Johnson allows following entities to bill medicare on her behalf.

Provider Name	Wakemed Specialists Group Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815

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. Kelly Cooke 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
Kelly Cooke Johnson, AUD Po Box 603949, Charlotte, NC 28260-3949 Ph: (919) 350-0351	Kelly Cooke Johnson, AUD 3024 New Bern Ave, Raleigh, NC 27610-1247 Ph: (919) 350-7856

Reviews and Comments

Audiologist in Raleigh, NC

Ashley Elizabeth Mcmillen, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4325 Lake Boone Trl, Raleigh, NC 27607 Phone: 984-215-6590
Sydney Paige Hill, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 5900 Six Forks Rd Ste 200, Raleigh, NC 27609 Phone: 919-876-4327
Dr. Heather Margaret Mazzola, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 7800 Lake Boone Trail, 100, Raleigh, NC 27607 Phone: 919-787-1374
Julia Vadakkumpadan, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3010 Anderson Dr, Raleigh, NC 27609 Phone: 919-420-2029 Fax: 919-420-2028
Michelle H Miller, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607 Phone: 919-787-1374
Dr. Cynthia Ann Schaffer, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 4002 Barrett Dr, Suite 101, Raleigh, NC 27609 Phone: 919-783-8751 Fax: 919-783-8753
Mrs. Erin Tamarkin Pinsky, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3010 Anderson Dr, Raleigh, NC 27609 Phone: 919-420-2029 Fax: 919-420-2028

Kelly Cooke Johnson, AUD - Medicare Audiologist in Raleigh, NC