Dr Kimberly Sue Johnson, MD in 49684 Traverse City, Mi (grand Traverse), MI

Dr Kimberly Sue Johnson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in 49684 Traverse City, Mi (grand Traverse), Michigan. 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 Name	Dr Kimberly Sue Johnson
Gender	Female
Speciality
Experience	Years
Location	1105 Sixth Street, 49684 Traverse City, Mi (grand Traverse), Michigan
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 Sue Johnson attended and graduated from in

NPI Data:

NPI Number: 1467682971
Provider Enumeration Date: 07/17/2009
Last Update Date: 05/16/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1467682971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4301094869 (Michigan)	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 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 Address	Practice 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

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