Dr Jessy Charles-james Johnson, DC is a medicare enrolled "Chiropractor" provider in Summit, Wisconsin. His current practice location is
36500 Aurora Dr, Summit, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 434-1000.
Dr Jessy Charles-james Johnson is licensed to practice in Wisconsin (license number 5654-12) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033792155.
Healthcare Provider's Profile
| Full Name | Dr Jessy Charles-james Johnson |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 36500 Aurora Dr, Summit, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033792155
- Provider Enumeration Date: 05/05/2021
- Last Update Date: 01/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496164790
- Enrollment ID: I20210517000667
Medical Identifiers
Medical identifiers for Dr Jessy Charles-james Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033792155 | NPI | - | NPPES |
| 100238257 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 5654-12 (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. Dr Jessy Charles-james Johnson allows following entities to bill medicare on his behalf.
| Provider Name | Aurora Medical Group, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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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. Dr Jessy Charles-james 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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Dr Jessy Charles-james Johnson, DC
Po Box 735044,
Chicago, IL 60673-5044
Ph: () - | Dr Jessy Charles-james Johnson, DC
36500 Aurora Dr,
Summit, WI 53066-4899
Ph: (262) 434-1000 |
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