Dr Gbemisola Oluwakemi Johnson, MD in Bolivar, MO

Dr Gbemisola Oluwakemi Johnson, MD is a medicare enrolled "Family Medicine" physician in Bolivar, Missouri. Her current practice location is 3817 S. Springfield Avenue, Bolivar, Mo 6561, Suite 140, Bolivar, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 422-4769.

Dr Gbemisola Oluwakemi Johnson is licensed to practice in Missouri (license number 2025046442) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003556903.

Contact Information

	Dr Gbemisola Oluwakemi Johnson, MD
	3817 S. Springfield Avenue, Bolivar, Mo 6561, Suite 140, Bolivar, MO 65613
	(417) 422-4769
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Gbemisola Oluwakemi Johnson
Gender	Female
Speciality	Family Medicine
Location	3817 S. Springfield Avenue, Bolivar, Mo 6561, Bolivar, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003556903
Provider Enumeration Date: 03/30/2022
Last Update Date: 10/24/2025

Medicare PECOS Information:

PECOS PAC ID: 3678947132
Enrollment ID: I20230323001929

Medical Identifiers

Medical identifiers for Dr Gbemisola Oluwakemi Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003556903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2025046442 (Missouri)	Primary

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 Gbemisola Oluwakemi 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 Gbemisola Oluwakemi Johnson, MD 10901 Brighton Bay Blvd Ne Apt 10209, St Petersburg, FL 33716-3459 Ph: (757) 714-2331	Dr Gbemisola Oluwakemi Johnson, MD 3817 S. Springfield Avenue, Bolivar, Mo 6561, Suite 140, Bolivar, MO 65613 Ph: (417) 422-4769

Reviews and Comments

Family Medicine Doctors in Bolivar, MO

Kristopher J Kaufmann, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-7676 Fax: 417-326-3939
Mrs. Laura C Vance, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 Fax: 417-326-6347
George J Heinz Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 N. Oakland Ave., Bolivar, MO 65613 Phone: 417-328-6631
April E Edgar, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-328-6040 Fax: 417-328-1128
Coral Molina, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000
Juris Peteris Simanis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1155 W. Parkview Street, Suite 2d, Bolivar, MO 65613 Phone: 417-777-2663 Fax: 417-777-2666

Dr Gbemisola Oluwakemi Johnson, MD - Medicare Family Medicine in Bolivar, MO