Holly Renee Johnson, MD - Medicare General Surgery in Jamestown, NY

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Holly Renee Johnson, MD is a medicare enrolled "Surgery" physician in Jamestown, New York. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice University At Buffalo Surgeons Inc and her current practice location is 15 S Main St, Jamestown, New York. You can reach out to her office (for appointments etc.) via phone at (716) 483-1183.

Holly Renee Johnson is licensed to practice in New York (license number 327549) 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 1356963623.

Contact Information

Holly Renee Johnson, MD
15 S Main St,
Jamestown, NY 14701-6626
(716) 483-1183
(716) 664-4903

Map and Direction




Physician's Profile

Full NameHolly Renee Johnson
GenderFemale
SpecialityGeneral Surgery
Experience10 Years
Location15 S Main St, Jamestown, New York
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:
  • Holly Renee Johnson graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1356963623
  • Provider Enumeration Date: 05/10/2020
  • Last Update Date: 07/27/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1355851700
  • Enrollment ID: I20250605003665

Medical Identifiers

Medical identifiers for Holly Renee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356963623NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 327549 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaleida HealthBuffalo, NYHospital
Wyoming CountyWarsaw, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University At Buffalo Surgeons Inc418361279940

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. Holly Renee Johnson allows following entities to bill medicare on her behalf.
Entity NameUniversity at Buffalo Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508898305
PECOS PAC ID: 4183612799
Enrollment ID: O20040503001532

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. Holly Renee 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
Holly Renee Johnson, MD
15 S Main St Ste 170,
Jamestown, NY 14701-6627

Ph: Not Available		Holly Renee Johnson, MD
15 S Main St,
Jamestown, NY 14701-6626

Ph: (716) 483-1183

Reviews and Comments


Surgery Doctors in Jamestown, NY

Timothy Brown,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 15 S Main St, Suite 170, Jamestown, NY 14701
Phone: 716-483-1183    
Dr. Galo A Grijalva, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 207 Foote Ave, Jamestown, NY 14701
Phone: 716-485-7870    Fax: 716-485-7878
Bert W Rappole, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 15 S Main St, Suite 170, Jamestown, NY 14701
Phone: 716-483-1183    Fax: 716-483-2445
Scott H Bedwell, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 15 S Main St Ste 170, Jamestown, NY 14701
Phone: 716-483-1183    Fax: 716-483-2445
Ajita Naik, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 15 S Main St Ste 170, Jamestown, NY 14701
Phone: 716-483-1183    Fax: 716-664-4903
George W Conner, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 17 Sherman St, Jamestown, NY 14701
Phone: 716-484-0173    Fax: 716-484-0177
Dr. Matthew S Chang, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 15 S Main St, Suite 170, Jamestown, NY 14701
Phone: 716-483-1183    

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.