Dr Cody Tyler Johnson, DO - Medicare Emergency Medicine in Anderson, SC

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Dr Cody Tyler Johnson, DO is a medicare enrolled "Emergency Medicine" physician in Anderson, South Carolina. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Pelham Medical Center, Spartanburg Medical Center and his current practice location is 800 N Fant St, Anderson, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 512-1000.

Dr Cody Tyler Johnson is licensed to practice in South Carolina (license number 83087) 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 1558711911.

Contact Information

Dr Cody Tyler Johnson, DO
800 N Fant St,
Anderson, SC 29621-5708
(864) 512-1000
Not Available

Map and Direction




Physician's Profile

Full NameDr Cody Tyler Johnson
GenderMale
SpecialityEmergency Medicine
Experience9 Years
Location800 N Fant St, Anderson, South 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 Cody Tyler Johnson attended and graduated from Michigan State University College Of Osteopathic Medicine in 2016
  NPI Data:
  • NPI Number: 1558711911
  • Provider Enumeration Date: 06/16/2016
  • Last Update Date: 06/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5597024158
  • Enrollment ID: I20200724000645

Medical Identifiers

Medical identifiers for Dr Cody Tyler Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558711911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101022301 (Michigan)Secondary
207P00000XEmergency Medicine 83087 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Anmed HealthAnderson, SCHospital
Spartanburg Medical CenterSpartanburg, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pelham Medical Center2365519097110
Spartanburg Medical Center3072425297977

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 Cody Tyler Johnson allows following entities to bill medicare on his behalf.
Entity NameSpartanburg Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699729939
PECOS PAC ID: 3072425297
Enrollment ID: O20040702000686
Entity NamePelham Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619133568
PECOS PAC ID: 2365519097
Enrollment ID: O20080923000329
Entity NameIch Er Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174002059
PECOS PAC ID: 2860744331
Enrollment ID: O20181010003402

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 Cody Tyler 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 Cody Tyler Johnson, DO
18 Appleton Ln,
Mauldin, SC 29662-3415

Ph: (616) 826-0506		Dr Cody Tyler Johnson, DO
800 N Fant St,
Anderson, SC 29621-5708

Ph: (864) 512-1000

Reviews and Comments


Emergency Medicine Doctors in Anderson, SC

James E. Reese, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 N Fant St, Anderson, SC 29621
Phone: 864-512-1335    
Michael Clarke, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 N Fant St, Anderson, SC 29621
Phone: 864-512-1000    
Dr. Kevin Matthew Summers, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 N Fant St, Anderson, SC 29621
Phone: 863-899-6081    
Dr. Zachary Hall Conn, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 N Fant St, Anderson, SC 29621
Phone: 864-607-3835    
David Scott Turner, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 N Fant St, Anderson, SC 29621
Phone: 864-512-1335    
Joseph Daniel Cox, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 N Fant St, Anderson, SC 29621
Phone: 864-512-1000    
Anthony W. Rekito, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 N Fant St, Anderson, SC 29621
Phone: 864-512-1335    

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.