| Dr Kelly Christina Johnson, MD | |
|
21 Crossroads Dr, Suite 200, Owings Mills, MD 21117-5441 | |
| (410) 581-8140 | |
| (410) 356-0885 |
| Full Name | Dr Kelly Christina Johnson |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 19 Years |
| Location | 21 Crossroads Dr, Owings Mills, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871732503 | NPI | - | NPPES |
| 254908500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 25MA08567200 (New Jersey) | Secondary |
| 208800000X | Urology | 34470 (South Carolina) | Secondary |
| 208800000X | Urology | D0076185 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md St Joseph Medical Center | Towson, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chesapeake Urology Associates Llc | 4789673393 | 142 |
| Entity Name | Chesapeake Urology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992520795 PECOS PAC ID: 4789673393 Enrollment ID: O20040510000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Christina Johnson, MD 25 Crossroads Dr, Suite 306, Owings Mills, MD 21117-5421 Ph: (443) 738-2872 | Dr Kelly Christina Johnson, MD 21 Crossroads Dr, Suite 200, Owings Mills, MD 21117-5441 Ph: (410) 581-8140 |
Dr. Laura Giusto, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 21 Crossroads Dr Ste 200, Owings Mills, MD 21117 Phone: 410-581-1600 | |
Sanford Jay Siegel, M.D. Urology Medicare: Medicare Enrolled Practice Location: 21 Crossroads Dr, Suite 200, Owings Mills, MD 21117 Phone: 410-581-1600 Fax: 410-581-1603 | |
Justin Fang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 25 Crossroads Dr Ste 306, Owings Mills, MD 21117 Phone: 443-738-8170 Fax: 443-738-2713 |