Kevin Brandt Johnson, DO is a medicare enrolled "General Practice" physician in Morristown, Tennessee. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Revida Recovery Centers Pc and his current practice location is
230 Bowman St Ste C, Morristown, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 586-3249.
Kevin Brandt Johnson is licensed to practice in Tennessee (license number 2434) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1598826349.
Physician's Profile
| Full Name | Kevin Brandt Johnson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 21 Years |
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| Location | 230 Bowman St Ste C, Morristown, Tennessee |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Brandt Johnson graduated from medical school in 2005
NPI Data:
- NPI Number: 1598826349
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 02/25/2026
Medicare PECOS Information:
- PECOS PAC ID: 6608976527
- Enrollment ID: I20201125002592
Medical Identifiers
Medical identifiers for Kevin Brandt Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598826349 | NPI | - | NPPES |
| Q059168 | Medicaid | TN | |
| 7100003850 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 03105 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 02434 (Tennessee) | Secondary |
| 208D00000X | General Practice | 2434 (Tennessee) | Primary |
| 207Q00000X | Family Medicine | R1276 (Kentucky) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Revida Recovery Centers Pc | 1153657473 | 31 |
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. Kevin Brandt Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Revida Recovery Centers Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013483486
PECOS PAC ID: 1153657473
Enrollment ID: O20190724003393 |
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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. Kevin Brandt 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 |
|---|
Kevin Brandt Johnson, DO
230 Bowman St Ste C,
Morristown, TN 37813-3871
Ph: (423) 586-3249 | Kevin Brandt Johnson, DO
230 Bowman St Ste C,
Morristown, TN 37813-3871
Ph: (423) 586-3249 |
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