Michael Shane Johnson, MD in Oklahoma City, OK

Michael Shane Johnson, MD is a medicare enrolled "General Practice" physician in Oklahoma City, Oklahoma. His current practice location is 13600 Prairie View Ln, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (888) 330-7831.

Michael Shane Johnson is licensed to practice in Oklahoma (license number 30380) 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 1770877151.

Contact Information

	Michael Shane Johnson, MD
	13600 Prairie View Ln, Oklahoma City, OK 73142-5917
	(888) 330-7831
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Shane Johnson
Gender	Male
Speciality	General Practice
Location	13600 Prairie View Ln, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770877151
Provider Enumeration Date: 06/03/2011
Last Update Date: 04/01/2014

Medicare PECOS Information:

PECOS PAC ID: 9830325422
Enrollment ID: I20140430000051

Medical Identifiers

Medical identifiers for Michael Shane Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770877151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	30380 (Oklahoma)	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. Michael Shane Johnson allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210505002298

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. Michael Shane 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
Michael Shane Johnson, MD 13600 Prairie View Ln, Oklahoma City, OK 73142-5917 Ph: (888) 330-7831	Michael Shane Johnson, MD 13600 Prairie View Ln, Oklahoma City, OK 73142-5917 Ph: (888) 330-7831

Reviews and Comments

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Michael Shane Johnson, MD - Medicare General Practice in Oklahoma City, OK