Dr Shelly Johnson, MD is a medicare enrolled "Internal Medicine" physician in South Kingstown, Rhode Island. Her current practice location is
59 S County Commons Way Fl H32, South Kingstown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 783-0084.
Dr Shelly Johnson is licensed to practice in Rhode Island (license number MD08863) 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 1528055191.
Physician's Profile
| Full Name | Dr Shelly Johnson |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 59 S County Commons Way Fl H32, South Kingstown, Rhode Island |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shelly Johnson attended and graduated from in
NPI Data:
- NPI Number: 1528055191
- Provider Enumeration Date: 09/29/2005
- Last Update Date: 04/02/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Shelly Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528055191 | NPI | - | NPPES |
| 007056629 | Other | RI | MEDICARE |
| 7004665 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD08863 (Rhode Island) | 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 Shelly 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 Shelly Johnson, MD
10 Davol Sq, Suite 400,
Providence, RI 02903-4754
Ph: (401) 421-4000 | Dr Shelly Johnson, MD
59 S County Commons Way Fl H32,
South Kingstown, RI 02879-8270
Ph: (401) 783-0084 |
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