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

Dr Gbemisola Oluwakemi Johnson, MD is a medicare enrolled "Family Medicine" physician in Bolivar, Missouri. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mercy Clinic Springfield Communities and 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 accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 NameDr Gbemisola Oluwakemi Johnson
GenderFemale
SpecialityFamily Practice
Experience4 Years
Location3817 S. Springfield Avenue, Bolivar, Mo 6561, Bolivar, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gbemisola Oluwakemi Johnson graduated from medical school in 2022
  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: I20251120003801

Medical Identifiers

Medical identifiers for Dr Gbemisola Oluwakemi Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003556903NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2025046442 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital SpringfieldSpringfield, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Springfield Communities74168658451130

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 AddressPractice 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
Phillip Kelchen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1172 Highway U, Bolivar, MO 65613
Phone: 417-880-8119    
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
Miss Courtney Margaret De Souza, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 N Oakland Ave, Bolivar, MO 65613
Phone: 417-326-7676    
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

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.