Kenneth S Johnson, MD in Grand Rapids, MI - Medicare Emergency Medicine

Kenneth S Johnson, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Grand Rapids, Michigan. His current practice location is 100 Michigan St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 391-1680.

Kenneth S Johnson is licensed to practice in Michigan (license number 4301057997) 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 1558378265.

Contact Information

	Kenneth S Johnson, MD
	100 Michigan St Ne, Grand Rapids, MI 49503-2560
	(616) 391-1680
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenneth S Johnson
Gender	Male
Speciality	Emergency Medicine - Emergency Medical Services
Location	100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558378265
Provider Enumeration Date: 08/02/2006
Last Update Date: 08/21/2019

Medicare PECOS Information:

PECOS PAC ID: 1052410651
Enrollment ID: I20070622000204

Medical Identifiers

Medical identifiers for Kenneth S Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558378265	NPI	-	NPPES
930077745	Other	MI	RAILROAD MEDICARE
P00411572	Other	MI	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	4301057997 (Michigan)	Secondary
207PE0004X	Emergency Medicine - Emergency Medical Services	4301057997 (Michigan)	Primary

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. Kenneth S Johnson allows following entities to bill medicare on his behalf.

Entity Name	Cherry Street Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558459164 PECOS PAC ID: 6800707647 Enrollment ID: O20040804000274

Entity Name	Ecs Western Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001

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. Kenneth S 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
Kenneth S Johnson, MD Po Box 22067, Lansing, MI 48909-8016 Ph: (616) 975-1845	Kenneth S Johnson, MD 100 Michigan St Ne, Grand Rapids, MI 49503-2560 Ph: (616) 391-1680

Reviews and Comments

Emergency Medicine Doctors in Grand Rapids, MI

Kristin Inger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503 Phone: 616-391-9945
Dr. Adam Michael Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000
Mark Greenwood, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Mc 71, Grand Rapids, MI 49503 Phone: 616-391-5310
Raymond Scurek, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 Fax: 616-285-0846
Mark G Kanitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680
Dr. Calista Kaitlyn Prohaska, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc188, Grand Rapids, MI 49503 Phone: 616-391-1680
Dr. Sara Rish Urquhart, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1840 Wealthy St Se, Grand Rapids, MI 49506 Phone: 616-391-1730 Fax: 616-285-0846

Kenneth S Johnson, MD - Medicare Emergency Medicine in Grand Rapids, MI