Dr Derek K Johnson, MD in Smyrna, TN

Dr Derek K Johnson, MD is a medicare enrolled "Pediatrics" physician in Smyrna, Tennessee. His current practice location is 300 Stonecrest Blvd Ste 250, Smyrna, Tennessee. You can reach out to his office (for appointments etc.) via phone at (629) 220-0211.

Dr Derek K Johnson is licensed to practice in Tennessee (license number MD40831) 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 1386603850.

Contact Information

	Dr Derek K Johnson, MD
	300 Stonecrest Blvd Ste 250, Smyrna, TN 37167-6832
	(629) 220-0211
	(629) 220-0210

Map and Direction

Physician's Profile

Full Name	Dr Derek K Johnson
Gender	Male
Speciality	Pediatrics
Location	300 Stonecrest Blvd Ste 250, Smyrna, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386603850
Provider Enumeration Date: 03/22/2006
Last Update Date: 10/17/2022

Medicare PECOS Information:

PECOS PAC ID: 8224003652
Enrollment ID: I20060731000464

Medical Identifiers

Medical identifiers for Dr Derek K Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386603850	NPI	-	NPPES
001842036	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD073165L (Pennsylvania)	Secondary
208000000X	Pediatrics	MD40831 (Tennessee)	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 Derek K Johnson allows following entities to bill medicare on his behalf.

Entity Name	The Center For Pediatric Excellence, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386382273 PECOS PAC ID: 9234519802 Enrollment ID: O20220629002557

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 Derek K 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
Dr Derek K Johnson, MD 300 Stonecrest Blvd Ste 250, Smyrna, TN 37167-6832 Ph: (629) 220-0211	Dr Derek K Johnson, MD 300 Stonecrest Blvd Ste 250, Smyrna, TN 37167-6832 Ph: (629) 220-0211

Reviews and Comments

Pediatrics Doctors in Smyrna, TN

Dana J Haselton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 699 President Pl, Smyrna, TN 37167 Phone: 615-459-5252
Lee David Mockrin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 515 Stonecrest Pkwy, Suite 150, Smyrna, TN 37167 Phone: 615-223-1350 Fax: 615-223-1351
Rachel Ames, NP Pediatrics Medicare: Medicare Enrolled Practice Location: 537 Stonecrest Pkwy Ste 201, Smyrna, TN 37167 Phone: 615-625-0270
Miss Rachel Morales Ricafort, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 739 President Pl Ste 110, Smyrna, TN 37167 Phone: 615-625-7780 Fax: 615-625-7781
Dr. Catherine Sipe Bottoms, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 741 President Pl, Suite 210, Smyrna, TN 37167 Phone: 615-223-5565 Fax: 615-223-5509
Dr. Mitali Nanda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 515 Stonecrest Pkwy, Suite 150, Smyrna, TN 37167 Phone: 615-223-1550 Fax: 615-223-1331
Melissa Emily Fuller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 741 President Place, Suite 210, Smyrna, TN 37167 Phone: 615-223-5565 Fax: 615-223-5509

Dr Derek K Johnson, MD - Medicare Pediatrics in Smyrna, TN