Dr Kimberly D Johnson, MD in Rolla, MO - Medicare Family Practice

Dr Kimberly D Johnson, MD is a medicare enrolled "Family Medicine" physician in Rolla, Missouri. She went to Wright State University Boonshoft School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice South Central Missouri Community Health Center and her current practice location is 1081 E 18th St, Rolla, Missouri. You can reach out to her office (for appointments etc.) via phone at (734) 262-4075.

Dr Kimberly D Johnson is licensed to practice in Missouri (license number 2006002908) 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 1396717104.

Contact Information

	Dr Kimberly D Johnson, MD
	1081 E 18th St, Rolla, MO 65401-2448
	(734) 262-4075
	(573) 426-6723

Map and Direction

Physician's Profile

Full Name	Dr Kimberly D Johnson
Gender	Female
Speciality	Family Practice
Experience	29 Years
Location	1081 E 18th St, Rolla, Missouri
Accepts Medicare Assignments	Yes. 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 Kimberly D Johnson attended and graduated from Wright State University Boonshoft School Of Medicine in 1995

NPI Data:

NPI Number: 1396717104
Provider Enumeration Date: 02/06/2006
Last Update Date: 07/29/2020

Medicare PECOS Information:

PECOS PAC ID: 9032186036
Enrollment ID: I20060818000019

Medical Identifiers

Medical identifiers for Dr Kimberly D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396717104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2006002908 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phelps County Regional Medical Center	Rolla, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Central Missouri Community Health Center	1355513581	8

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 Kimberly D Johnson allows following entities to bill medicare on her behalf.

Entity Name	Pcrmc Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124237227 PECOS PAC ID: 1557454063 Enrollment ID: O20070829000437

Entity Name	South Central Missouri Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164669172 PECOS PAC ID: 1355513581 Enrollment ID: O20111013000097

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 Kimberly D 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 Kimberly D Johnson, MD 1081 E 18th St, Rolla, MO 65401-2448 Ph: (573) 426-4455	Dr Kimberly D Johnson, MD 1081 E 18th St, Rolla, MO 65401-2448 Ph: (734) 262-4075

Reviews and Comments

Family Medicine Doctors in Rolla, MO

Dr. Katie Elizabeth Hern, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Ste 230, Rolla, MO 65401 Phone: 573-458-6350 Fax: 573-458-6764
Dr. Omofolarin Babatunji Fasuyi, M.D, M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1605 Martin Springs Dr, Suite 210, Rolla, MO 65401 Phone: 573-458-6326
Dr. Randall G. Dudik, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401 Phone: 573-341-3043 Fax: 573-341-5208
Dr. Luther D. Spurlock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401 Phone: 573-341-3043 Fax: 573-341-5208
Dr. Jaehyeon Park, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1605 Martin Springs Dr Ste 230, Rolla, MO 65401 Phone: 573-458-6326
Mr. Matthew Timothy Porter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Laurel Dr, Rolla, MO 65401 Phone: 573-596-1765

Dr Kimberly D Johnson, MD - Medicare Family Practice in Rolla, MO