Dr Shelly Johnson, MD - Medicare Internal Medicine in South Kingstown, RI

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Dr Shelly Johnson, MD is a medicare enrolled "Internal Medicine" physician in South Kingstown, Rhode Island. She went to Stanford University School Of Medicine and graduated in 1989 and has 37 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Coastal Medical Physicians Inc and 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.

Contact Information

Dr Shelly Johnson, MD
59 S County Commons Way Fl H32,
South Kingstown, RI 02879-8270
(401) 783-0084
(401) 782-0005

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Physician's Profile

Full NameDr Shelly Johnson
GenderFemale
SpecialityInternal Medicine
Experience37 Years
Location59 S County Commons Way Fl H32, South Kingstown, Rhode Island
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 Shelly Johnson attended and graduated from Stanford University School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1528055191
  • Provider Enumeration Date: 09/29/2005
  • Last Update Date: 04/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4183600406
  • Enrollment ID: I20040628000640

Medical Identifiers

Medical identifiers for Dr Shelly Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528055191NPI-NPPES
007056629OtherRIMEDICARE
7004665MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD08863 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South County Home HealthWakefield, RIHome health agency
Bayada Home Health Care IncProvidence, RIHome health agency
Elara CaringWarwick, RIHome health agency
Hopehealth Hospice & Palliative Care Providence, RIHospice
The Miriam HospitalProvidence, RIHospital
South County Hospital IncWakefield, RIHospital
Newport HospitalNewport, RIHospital
Rhode Island HospitalProvidence, RIHospital
Westerly HospitalWesterly, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coastal Medical Physicians Inc0345658316222

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 Shelly Johnson allows following entities to bill medicare on her behalf.
Entity NameCoastal Medical Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780273540
PECOS PAC ID: 0345658316
Enrollment ID: O20210427001413

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 AddressPractice 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

Reviews and Comments



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.