Kyle Robert Johnson, MD - Medicare Emergency Medicine in Douglas, WY

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Kyle Robert Johnson, MD is a medicare enrolled "Emergency Medicine" physician in Douglas, Wyoming. His current practice location is 111 S 5th St, Douglas, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 358-2122.

Kyle Robert Johnson is licensed to practice in Wyoming (license number 16983A) 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 1063972487.

Contact Information

Kyle Robert Johnson, MD
111 S 5th St,
Douglas, WY 82633-2434
(307) 358-2122
Not Available

Map and Direction




Physician's Profile

Full NameKyle Robert Johnson
GenderMale
SpecialityEmergency Medicine
Location111 S 5th St, Douglas, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063972487
  • Provider Enumeration Date: 03/21/2019
  • Last Update Date: 06/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294138277
  • Enrollment ID: I20240819004240

Medical Identifiers

Medical identifiers for Kyle Robert Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063972487NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 16983A (Wyoming)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. Kyle Robert Johnson allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital Of Converse County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356496491
PECOS PAC ID: 2264340843
Enrollment ID: O20031203000672
Entity NameNorth Lincoln County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730132523
PECOS PAC ID: 4789580218
Enrollment ID: O20031208000415
Entity NameMemorial Hospital Of Converse County
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1326085408
PECOS PAC ID: 2264340843
Enrollment ID: O20070815000252
Entity NameNorth Lincoln County Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1255376406
PECOS PAC ID: 4789580218
Enrollment ID: O20101103000284

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 Robert 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
Kyle Robert Johnson, MD
111 S 5th St,
Douglas, WY 82633-2434

Ph: (307) 358-2122		Kyle Robert Johnson, MD
111 S 5th St,
Douglas, WY 82633-2434

Ph: (307) 358-2122

Reviews and Comments


Emergency Medicine Doctors in Douglas, WY

Ryker Michiel Kiel, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 S 5th St, Douglas, WY 82633
Phone: 307-358-2122    

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.