Mrs Andrea G Johnson, CSPOMM DO MB is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Okemos, Michigan. Her current practice location is
2501 Jolly Rd, Suite 120, Okemos, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 381-0299.
Mrs Andrea G Johnson is licensed to practice in Michigan (license number 5101009343) 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 1679568174.
Physician's Profile
| Full Name | Mrs Andrea G Johnson |
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| Gender | Female |
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| Speciality | Neuromusculoskeletal Medicine & Omm |
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| Location | 2501 Jolly Rd, Okemos, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679568174
- Provider Enumeration Date: 09/12/2005
- Last Update Date: 06/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456510957
- Enrollment ID: I20120301000622
Medical Identifiers
Medical identifiers for Mrs Andrea G Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679568174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 5101009343 (Michigan) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 5101009343 (Michigan) | 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. Mrs Andrea G Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Specialty Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629010384 PECOS PAC ID: 2365439544 Enrollment ID: O20040429000064 |
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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. Mrs Andrea G 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 |
Mrs Andrea G Johnson, CSPOMM DO MB 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444-1886 Ph: (231) 672-6336 | Mrs Andrea G Johnson, CSPOMM DO MB 2501 Jolly Rd, Suite 120, Okemos, MI 48864-3676 Ph: (517) 381-0299 |
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