Mitzi Johnson, MD in Braintree, MA

Mitzi Johnson, MD is a medicare enrolled "Pediatrics" physician in Braintree, Massachusetts. Her current practice location is 111 Grossman Dr, Braintree, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 849-2300.

Mitzi Johnson is licensed to practice in Massachusetts (license number 59642) 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 1497887293.

Contact Information

	Mitzi Johnson, MD
	111 Grossman Dr, Braintree, MA 02184-4997
	(781) 849-2300
	(781) 849-2593

Map and Direction

Physician's Profile

Full Name	Mitzi Johnson
Gender	Female
Speciality	Pediatrics
Location	111 Grossman Dr, Braintree, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497887293
Provider Enumeration Date: 03/09/2007
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0143263459
Enrollment ID: I20050608000054

Medical Identifiers

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

Identifier	Type	State	Issuer
1497887293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	59642 (Massachusetts)	Secondary
208000000X	Pediatrics	59642 (Massachusetts)	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. Mitzi Johnson allows following entities to bill medicare on her behalf.

Entity Name	Pratt Pediatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127

Entity Name	Medexpress Urgent Care, Pc - Massachusetts
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558882845 PECOS PAC ID: 2163733510 Enrollment ID: O20150625002038

Entity Name	Convenientmd - Ffs Uc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790528628 PECOS PAC ID: 5193186492 Enrollment ID: O20230921002173

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. Mitzi 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
Mitzi Johnson, MD 111 Grossman Dr, Braintree, MA 02184-4997 Ph: (781) 849-2300	Mitzi Johnson, MD 111 Grossman Dr, Braintree, MA 02184-4997 Ph: (781) 849-2300

Reviews and Comments

Pediatrics Doctors in Braintree, MA

Dr. Scott R. Paul, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 Wood Rd, Suite 301, Braintree, MA 02184 Phone: 781-356-6200
Jonathan H Brenner, M.D., M.P.H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 Wood Rd, Suite 301, Braintree, MA 02184 Phone: 781-356-6200
Michele F Greenwald, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 111 Grossman Dr, Braintree, MA 02184 Phone: 781-849-2300 Fax: 781-849-2377
Dr. Jean R Brodnax, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Grossman Dr, Pediatrics Dept, Braintree, MA 02184 Phone: 781-849-2302
Ben Matthews Willwerth Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 Wood Road, Suite 301, Braintree, MA 02184 Phone: 781-356-6200 Fax: 781-356-6299
Peter A Barrant, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Grossman Dr, Pediatrics Dept, Braintree, MA 02184 Phone: 781-849-2300 Fax: 781-849-2377
Brian B Guarnotta, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Grossman Dr, Braintree, MA 02184 Phone: 781-849-2300 Fax: 781-849-2377

Mitzi Johnson, MD - Medicare Pediatrics in Braintree, MA