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

Kelly Cooke Johnson, AUD is a medicare enrolled "Audiologist" provider in Cary, North Carolina. Her current practice location is 110 Corning Rd, Cary, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 431-7400.

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
	110 Corning Rd, Cary, NC 27518-9229
	(919) 431-7400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Cooke Johnson
Gender	Female
Speciality	Audiologist
Location	110 Corning Rd, Cary, 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: 04/15/2026

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	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 4613 Fisk Ct, Raleigh, NC 27604-8401 Ph: () -	Kelly Cooke Johnson, AUD 110 Corning Rd, Cary, NC 27518-9229 Ph: (919) 431-7400

Reviews and Comments

Audiologist in Cary, NC

Dr. Jamie Riedell, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 110 Corning Rd, Cary, NC 27518 Phone: 919-431-7400
Dr. Whitney Kidd, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 110 Corning Rd, Cary, NC 27518 Phone: 919-431-7400
Danita Whitworth Sullivan, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 110 Corning Rd, Cary, NC 27518 Phone: 919-694-8191 Fax: 919-694-7767
Donella Hellenkamp, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 401 High House Rd Ste 130, Cary, NC 27513 Phone: 919-636-3006 Fax: 919-342-0817
University Of North Carolina Hospitals At Chapel Hill Audiologist Medicare: Not Enrolled in Medicare Practice Location: 115 Kildaire Park Dr Ste 308, Cary, NC 27518 Phone: 984-974-2113
Dr. Radhika Gupta, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 401 High House Rd Ste 130, Cary, NC 27513 Phone: 919-636-3006
Cary Audiology Associates, Pllc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 115 Parkway Office Court, Ste. 100, Cary, NC 27518 Phone: 919-851-3800

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