Clark Timothy Johnson, - Medicare Obstetrics/gynecology in Baltimore, MD

Clark Timothy Johnson, is a medicare enrolled "Obstetrics & Gynecology" physician in Baltimore, Maryland. He went to University Of Michigan Medical School and graduated in 2009 and has 15 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Sinai Hospital Of Baltimore, Inc and his current practice location is 600 N Wolfe Street Phipps 279, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 955-6710.

Clark Timothy Johnson is licensed to practice in Maryland (license number D76370) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497989305.

Contact Information

Clark Timothy Johnson,
600 N Wolfe Street Phipps 279,
Baltimore, MD 21287-0001
(410) 955-6710
Not Available

Map and Direction




Physician's Profile

Full NameClark Timothy Johnson
GenderMale
SpecialityObstetrics/gynecology
Experience15 Years
Location600 N Wolfe Street Phipps 279, Baltimore, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clark Timothy Johnson attended and graduated from University Of Michigan Medical School in 2009
  NPI Data:
  • NPI Number: 1497989305
  • Provider Enumeration Date: 05/06/2009
  • Last Update Date: 11/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5698927275
  • Enrollment ID: I20150505000597

Medical Identifiers

Medical identifiers for Clark Timothy Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497989305NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology D76370 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sinai Hospital Of Baltimore, Inc0941112346333

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. Clark Timothy Johnson allows following entities to bill medicare on his behalf.
Entity NameSinai Hospital Of Baltimore, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043235666
PECOS PAC ID: 0941112346
Enrollment ID: O20031104000353
Entity NameJohns Hopkins University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922008549
PECOS PAC ID: 8921903147
Enrollment ID: O20031215000719
Entity NameUnion Hospital Of Cecil County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124067848
PECOS PAC ID: 6901719822
Enrollment ID: O20040121001109
Entity NameLuminis Health Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073580205
PECOS PAC ID: 2860447315
Enrollment ID: O20050317000146
Entity NameHcgh Ob Gyn Associates Series
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629091079
PECOS PAC ID: 3971605999
Enrollment ID: O20070222000271
Entity NameUniversity Of Maryland St Joseph Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770836785
PECOS PAC ID: 4880846179
Enrollment ID: O20121213000234

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. Clark Timothy 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
Clark Timothy Johnson,
807 S Luzerne Ave,
Baltimore, MD 21224-3734

Ph: (443) 708-8164
Clark Timothy Johnson,
600 N Wolfe Street Phipps 279,
Baltimore, MD 21287-0001

Ph: (410) 955-6710

Reviews and Comments


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Dr. Golsa Mirmiran Yazdy, M.D.
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Practice Location: 4940 Eastern Ave Bldg A1, Baltimore, MD 21224
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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.