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

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 NameKimberly Marie Johnson
GenderFemale
SpecialityEmergency Medicine
Location2730 Sw Moody Ave, Portland, Oregon
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1598283251NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency 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 NameSheridan Emergency Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598748030
PECOS PAC ID: 5597665372
Enrollment ID: O20040109000169
Entity NameEmergency Medicine Services Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
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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
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Practice Location: 10123 Se Market St, Portland, OR 97216
Phone: 503-252-2004    
Dr. Robert Thomas Martin, M.D.
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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    

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.