Dr Samuel Johnson, MD in Stone Mountain, GA

Dr Samuel Johnson, MD is a medicare enrolled "Family Medicine" physician in Stone Mountain, Georgia. His current practice location is 5300 Memorial Dr, Suite 112, Stone Mountain, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 704-0306.

Dr Samuel Johnson is licensed to practice in Georgia (license number 037841) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477749810.

Contact Information

	Dr Samuel Johnson, MD
	5300 Memorial Dr, Suite 112, Stone Mountain, GA 30083-3148
	(678) 704-0306
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Samuel Johnson
Gender	Male
Speciality	Family Medicine
Location	5300 Memorial Dr, Stone Mountain, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477749810
Provider Enumeration Date: 09/19/2007
Last Update Date: 09/19/2007

Medicare PECOS Information:

PECOS PAC ID: 8820240310
Enrollment ID: I20121210000153

Medical Identifiers

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

Identifier	Type	State	Issuer
1477749810	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	037841 (Georgia)	Primary
208600000X	Surgery	037841 (Georgia)	Secondary
208D00000X	General Practice	037841 (Georgia)	Secondary

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 Samuel Johnson allows following entities to bill medicare on his behalf.

Entity Name	Hope Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154399210 PECOS PAC ID: 3779571708 Enrollment ID: O20040506000190

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 Samuel 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 Samuel Johnson, MD 5300 Memorial Dr, Suite 112, Stone Mountain, GA 30083-3148 Ph: (678) 704-0306	Dr Samuel Johnson, MD 5300 Memorial Dr, Suite 112, Stone Mountain, GA 30083-3148 Ph: (678) 704-0306

Reviews and Comments

Family Medicine Doctors in Stone Mountain, GA

Victor Nikolsky, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1234 S Hairston Rd Ste 28, Stone Mountain, GA 30088 Phone: 404-292-9034 Fax: 404-292-9037
Dr. Khurram A Khan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Springhouse Cir, Stone Mountain, GA 30087 Phone: 770-879-4330 Fax: 678-684-3066
Catherine Huggins Alexander, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087 Phone: 770-469-7000 Fax: 770-879-0436
Mr. Michael Lesley Baron, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Lilburn Stone Mtn Rd, Ste 100, Stone Mountain, GA 30087 Phone: 770-469-1711 Fax: 770-469-1837
Dr. Edward A Corkran, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5462 Memorial Dr, Suite 202, Stone Mountain, GA 30083 Phone: 404-292-5676 Fax: 404-299-8657
Dr. Raquel Maria Watson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5300 Memorial Dr Ste 121, Stone Mountain, GA 30083 Phone: 404-254-4500 Fax: 404-254-4517
Martha H Crenshaw, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087 Phone: 770-469-7000 Fax: 770-879-0436

Dr Samuel Johnson, MD - Medicare Family Medicine in Stone Mountain, GA