Sophia Johnson, DO in Williamsport, PA - Medicare Internal Medicine

Sophia Johnson, DO is a medicare enrolled "Internal Medicine - Hospice And Palliative Medicine" physician in Williamsport, Pennsylvania. Her current practice location is 1100 Grampian Blvd, Williamsport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 320-7680.

Sophia Johnson is licensed to practice in Pennsylvania (license number OS018396) 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 1467897595.

Contact Information

	Sophia Johnson, DO
	1100 Grampian Blvd, Williamsport, PA 17701-1907
	(570) 320-7680
	Not Available

Map and Direction

Physician's Profile

Full Name	Sophia Johnson
Gender	Female
Speciality	Internal Medicine - Hospice And Palliative Medicine
Location	1100 Grampian Blvd, Williamsport, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467897595
Provider Enumeration Date: 05/02/2013
Last Update Date: 03/31/2025

Medicare PECOS Information:

PECOS PAC ID: 8527284066
Enrollment ID: I20161111001488

Medical Identifiers

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

Identifier	Type	State	Issuer
1467897595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OS018396 (Pennsylvania)	Secondary
207RH0002X	Internal Medicine - Hospice And Palliative Medicine	OS018396 (Pennsylvania)	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. Sophia Johnson allows following entities to bill medicare on her behalf.

Entity Name	Susquehanna Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083655542 PECOS PAC ID: 2264336460 Enrollment ID: O20060814000331

Entity Name	Dlp Conemaugh Miners Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629471768 PECOS PAC ID: 2860612439 Enrollment ID: O20141030001653

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. Sophia 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
Sophia Johnson, DO 1201 Grampian Blvd, Williamsport, PA 17701-1900 Ph: () -	Sophia Johnson, DO 1100 Grampian Blvd, Williamsport, PA 17701-1907 Ph: (570) 320-7680

Reviews and Comments

Internal Medicine Doctors in Williamsport, PA

Ganga Ranasuriya, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-3580
Dr. William Craig Mccauley, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-3580 Fax: 570-321-3581
Thomas Neil Shaner, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1705 Warren Ave, Williamsport, PA 17701 Phone: 570-322-4791
Dr. Alfredo L Blas Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2850 Fax: 570-321-2851
Scott Segel, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7848
Dr. Zachary Weeder Simpson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898
Dr. Kevin William Kist Jr., DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-3580 Fax: 570-321-3581

Sophia Johnson, DO - Medicare Internal Medicine in Williamsport, PA