Kyle Eric Johnson, MD in Fremont, CA

Kyle Eric Johnson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fremont, California. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Robert Packer Hospital and his current practice location is 39400 Paseo Padre Pkwy, Fremont, California. You can reach out to his office (for appointments etc.) via phone at (510) 248-3000.

Kyle Eric Johnson is licensed to practice in California (license number A156544) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033521414.

Contact Information

	Kyle Eric Johnson, MD
	39400 Paseo Padre Pkwy, Fremont, CA 94538-2310
	(510) 248-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kyle Eric Johnson
Gender	Male
Speciality	Psychiatry
Experience	12 Years
Location	39400 Paseo Padre Pkwy, Fremont, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kyle Eric Johnson graduated from medical school in 2014

NPI Data:

NPI Number: 1033521414
Provider Enumeration Date: 05/20/2014
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 3072730977
Enrollment ID: I20231204001625

Medical Identifiers

Medical identifiers for Kyle Eric Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033521414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD182183 (Oregon)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	A156544 (California)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	29136 (West Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2084P0015X	Psychiatry & Neurology - Psychosomatic Medicine	A156544 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Robert Packer Hospital	Sayre, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Robert Packer Hospital	8022915180	50

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. Kyle Eric Johnson allows following entities to bill medicare on his behalf.

Entity Name	Robert Packer Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083614382 PECOS PAC ID: 8022915180 Enrollment ID: O20040310000868

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. Kyle Eric 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
Kyle Eric Johnson, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: () -	Kyle Eric Johnson, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-3000

Reviews and Comments

Psychiatry & Neurology Doctors in Fremont, CA

Calvin B. Wheeler, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000
Naureen Khan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000
Pradeep Kumar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 39159 Paseo Padre Parkawy #121, C, Fremont, CA 94538 Phone: 707-486-7442 Fax: 707-486-7442
Paula X. Lee, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000
Rasheeda Kaghazwala, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3060 Fax: 510-248-6522
Jina L. Janavs, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000

Kyle Eric Johnson, MD - Medicare Psychiatry in Fremont, CA