Ebony Nicole Johnson, MD - Medicare Family Practice in Crestwood, IL

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Ebony Nicole Johnson, MD is a medicare enrolled "Family Medicine" physician in Crestwood, Illinois. She went to Ohio State University College Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Primary Healthcare Associates Sc and her current practice location is 4742 Cal Sag Rd, Crestwood, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 915-2727.

Ebony Nicole Johnson is licensed to practice in Illinois (license number 03612077) 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 1497847255.

Contact Information

Ebony Nicole Johnson, MD
4742 Cal Sag Rd,
Crestwood, IL 60418
(708) 915-2727
Not Available

Map and Direction




Physician's Profile

Full NameEbony Nicole Johnson
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location4742 Cal Sag Rd, Crestwood, Illinois
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:
  • Ebony Nicole Johnson attended and graduated from Ohio State University College Of Medicine in 2005
  NPI Data:
  • NPI Number: 1497847255
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 07/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5597941534
  • Enrollment ID: I20110509000840

Medical Identifiers

Medical identifiers for Ebony Nicole Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497847255NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 03612077 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ingalls Memorial HospitalHarvey, ILHospital
The University Of Chicago Medical CenterChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Primary Healthcare Associates Sc468863533792

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. Ebony Nicole Johnson allows following entities to bill medicare on her behalf.
Entity NameLittle Company Of Mary Affiliated Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033162086
PECOS PAC ID: 5193629202
Enrollment ID: O20040127000775
Entity NamePrimary Healthcare Associates Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467442293
PECOS PAC ID: 4688635337
Enrollment ID: O20041026000077

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. Ebony Nicole 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
Ebony Nicole Johnson, MD
27702 Network Pl,
Chicago, IL 60673-1277

Ph: (708) 862-7674		Ebony Nicole Johnson, MD
4742 Cal Sag Rd,
Crestwood, IL 60418

Ph: (708) 915-2727

Reviews and Comments


Family Medicine Doctors in Crestwood, IL

Dr. Antonio Noriega, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13117 Rivercrest Dr, Crestwood, IL 60418
Phone: 708-371-1190    Fax: 708-448-8812
Kaveh Rahmani, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4742 Cal Sag Rd, Crestwood, IL 60445
Phone: 708-342-3000    Fax: 708-342-3060
Thomas I Joseph, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4736 Cal Sag Rd Ste A, Crestwood, IL 60418
Phone: 312-421-1016    Fax: 708-390-7001

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.