Kimberly Marie Johnson, MD in Portland, OR - Medicare Emergency Medicine

Kimberly Marie Johnson, MD is a medicare enrolled "Emergency Medicine" physician in Portland, Oregon. Her current practice location is 2730 Sw Moody Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-8428.

Kimberly Marie Johnson is licensed to practice in Florida (license number 15075) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598283251.

Contact Information

	Kimberly Marie Johnson, MD
	2730 Sw Moody Ave, Portland, OR 97201-5042
	(503) 494-8428
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly Marie Johnson
Gender	Female
Speciality	Emergency Medicine
Location	2730 Sw Moody Ave, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598283251
Provider Enumeration Date: 09/01/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8820407760
Enrollment ID: I20210506000579

Medical Identifiers

Medical identifiers for Kimberly Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598283251	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	15075 (Florida)	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. Kimberly Marie Johnson allows following entities to bill medicare on her behalf.

Entity Name	Sheridan Emergency Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598748030 PECOS PAC ID: 5597665372 Enrollment ID: O20040109000169

Entity Name	Emergency Medicine Services Of Fl Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881

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. Kimberly Marie 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
Kimberly Marie Johnson, MD 4025 Se 17th Pl, Ocala, FL 34471-5602 Ph: (503) 886-9343	Kimberly Marie Johnson, MD 2730 Sw Moody Ave, Portland, OR 97201-5042 Ph: (503) 494-8428

Reviews and Comments

Emergency Medicine Doctors in Portland, OR

Kimberly Lauren Imbesi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 Fax: 503-346-8021
Dr. Hani Darwich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Dr. Robert Thomas Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-297-6334 Fax: 503-297-2360
Dr. Jessica Slim, M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7551 Fax: 503-494-4997
Robert Barriatua, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Carolyn N Rhett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 503-413-7260
Dr. Ross Emery Bryan Iv, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Dept Of Emergency Medicine Cdw-em, Portland, OR 97239 Phone: 503-494-1270

Kimberly Marie Johnson, MD - Medicare Emergency Medicine in Portland, OR