Dr Kimberly Sue Johnson, MD - Medicare Diagnostic Radiology in 49684 Traverse City, Mi (grand Traverse), MI

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Dr Kimberly Sue Johnson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in 49684 Traverse City, Mi (grand Traverse), Michigan. She went to Michigan State University College Of Human Medicine and graduated in 2009 and has 17 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Grand Traverse Radiologists Pc and her current practice location is 1105 Sixth Street, Suite#100, 49684 Traverse City, Mi (grand Traverse), Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 935-5000.

Dr Kimberly Sue Johnson is licensed to practice in Michigan (license number 4301094869) 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 1467682971.

Contact Information

Dr Kimberly Sue Johnson, MD
1105 Sixth Street, Suite#100,
49684 Traverse City, Mi (grand Traverse), MI 49684
(231) 935-5000
Not Available

Map and Direction




Physician's Profile

Full NameDr Kimberly Sue Johnson
GenderFemale
SpecialityDiagnostic Radiology
Experience17 Years
Location1105 Sixth Street, 49684 Traverse City, Mi (grand Traverse), Michigan
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 Kimberly Sue Johnson attended and graduated from Michigan State University College Of Human Medicine in 2009
  NPI Data:
  • NPI Number: 1467682971
  • Provider Enumeration Date: 07/17/2009
  • Last Update Date: 05/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082837604
  • Enrollment ID: I20140528001305

Medical Identifiers

Medical identifiers for Dr Kimberly Sue Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467682971NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301094869 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Medical CenterTraverse city, MIHospital
Munson Healthcare Cadillac HospitalCadillac, MIHospital
Munson Healthcare Otsego Memorial HospitalGaylord, MIHospital
Munson Healthcare Grayling HospitalGrayling, MIHospital
Paul Oliver Memorial HospitalFrankfort, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grand Traverse Radiologists Pc600286640729

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 Sue Johnson allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139
Entity NameAdvanced Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245299494
PECOS PAC ID: 3779489224
Enrollment ID: O20031208000473
Entity NameCovenant Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972590412
PECOS PAC ID: 2769387778
Enrollment ID: O20031209000107
Entity NameGreat Lakes Bay Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871684761
PECOS PAC ID: 2466369046
Enrollment ID: O20040126000171
Entity NameGrand Traverse Radiologists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760404891
PECOS PAC ID: 6002866407
Enrollment ID: O20050124000780
Entity NameDlp Marquette Physician Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487902995
PECOS PAC ID: 9931359601
Enrollment ID: O20121016000312

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 Sue 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 Kimberly Sue Johnson, MD
Po Box 30516, Dept#9516,
Lansing, MI 48909-7919

Ph: (231) 935-0497		Dr Kimberly Sue Johnson, MD
1105 Sixth Street, Suite#100,
49684 Traverse City, Mi (grand Traverse), MI 49684

Ph: (231) 935-5000

Reviews and Comments


Radiology Doctors in 49684 Traverse City, Mi (grand Traverse), MI


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.