Dr Quan Johnson, MD in Grovetown, GA

Dr Quan Johnson, MD is a medicare enrolled "Pediatrics" physician in Grovetown, Georgia. Her current practice location is 5135 Wrightsboro Rd Ste B, Grovetown, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 854-2500.

Dr Quan Johnson is licensed to practice in Georgia (license number 94866) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699932418.

Contact Information

	Dr Quan Johnson, MD
	5135 Wrightsboro Rd Ste B, Grovetown, GA 30813-2803
	(706) 854-2500
	(706) 854-2559

Map and Direction

Physician's Profile

Full Name	Dr Quan Johnson
Gender	Female
Speciality	Pediatrics
Location	5135 Wrightsboro Rd Ste B, Grovetown, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699932418
Provider Enumeration Date: 05/20/2008
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1254513153
Enrollment ID: I20160715001015

Medical Identifiers

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

Identifier	Type	State	Issuer
1699932418	NPI	-	NPPES
003284191D	Medicaid	GA
003284191A	Medicaid	GA
003284191B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	94866 (Georgia)	Primary

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 Quan Johnson allows following entities to bill medicare on her behalf.

Entity Name	Thomasville Archdale Pediatrics Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427018894 PECOS PAC ID: 5799814398 Enrollment ID: O20100519000829

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 Quan 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 Quan Johnson, MD 411 Town Park Blvd, Evans, GA 30809-3487 Ph: (706) 854-2500	Dr Quan Johnson, MD 5135 Wrightsboro Rd Ste B, Grovetown, GA 30813-2803 Ph: (706) 854-2500

Reviews and Comments

Pediatrics Doctors in Grovetown, GA

Anna Schilling, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 305 W Robinson Ave, Grovetown, GA 30813 Phone: 706-446-4886 Fax: 706-650-5622
Jill Wheeler Kitchens, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5135 Wrightsboro Rd Ste B, Grovetown, GA 30813 Phone: 706-854-2500 Fax: 706-854-2500
Dr. Kelly Nicole Watson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 305 W Robinson Ave, Grovetown, GA 30813 Phone: 706-446-4886

Dr Quan Johnson, MD - Medicare Pediatrics in Grovetown, GA