Dr Blake Elliot Johnson, MD, MSC - Medicare Urology in Charlotte, NC

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Dr Blake Elliot Johnson, MD, MSC is a medicare enrolled "Urology" physician in Charlotte, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Urology. He is a member of the group practice University Of North Carolina At Chapel Hill, Forsyth Memorial Hospital Inc, Novant Health Medical Group, Llc, Scotland Memorial Hospital, Inc, Unc Physicians Network Llc and his current practice location is 15830 Ballantyne Medical Pl Ste 175, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 248-3400.

Dr Blake Elliot Johnson is licensed to practice in North Carolina (license number 2024-02754) 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 1497389142.

Contact Information

Dr Blake Elliot Johnson, MD, MSC
15830 Ballantyne Medical Pl Ste 175,
Charlotte, NC 28277-0763
(704) 248-3400
(704) 337-8387

Map and Direction




Physician's Profile

Full NameDr Blake Elliot Johnson
GenderMale
SpecialityUrology
Experience6 Years
Location15830 Ballantyne Medical Pl Ste 175, Charlotte, North Carolina
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:
  • Dr Blake Elliot Johnson attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2020
  NPI Data:
  • NPI Number: 1497389142
  • Provider Enumeration Date: 03/02/2020
  • Last Update Date: 08/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6709391733
  • Enrollment ID: I20250717000774

Medical Identifiers

Medical identifiers for Dr Blake Elliot Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497389142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 2024-02754 (North Carolina)Primary
208800000XUrology 97637 (South Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Unc HospitalsChapel hill, NCHospital
Novant Health Forsyth Medical CenterWinston-salem, NCHospital
Scotland Memorial HospitalLaurinburg, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of North Carolina At Chapel Hill06481811562028
Forsyth Memorial Hospital Inc9537071790622
Novant Health Medical Group, Llc11532348932413
Scotland Memorial Hospital, Inc0648208504259
Unc Physicians Network Llc5496940546985

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 Blake Elliot Johnson allows following entities to bill medicare on his behalf.
Entity NameUniversity of North Carolina at Chapel Hill
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780669200
PECOS PAC ID: 0648181156
Enrollment ID: O20031105000359
Entity NameScotland Memorial Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477791507
PECOS PAC ID: 0648208504
Enrollment ID: O20031105000382
Entity NameNovant Health Medical Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702
Entity NameUNC Physicians Network LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750704367
PECOS PAC ID: 5496940546
Enrollment ID: O20101115000646

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 Blake Elliot 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
Dr Blake Elliot Johnson, MD, MSC
15830 Ballantyne Medical Pl Ste 175,
Charlotte, NC 28277-0763

Ph: (704) 323-7633		Dr Blake Elliot Johnson, MD, MSC
15830 Ballantyne Medical Pl Ste 175,
Charlotte, NC 28277-0763

Ph: (704) 248-3400

Reviews and Comments


Urology Doctors in Charlotte, NC

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Catherine Leigh Robey, MD
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Alison Carroll Keenan, MD
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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.