William P Johnson Jr, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in St Simons Island, Georgia. He went to Indiana University School Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Prisma Health Medical Group-midlands and his current practice location is
108 Island Professional Park, St Simons Island, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 268-4372.
William P Johnson Jr is licensed to practice in Georgia (license number 064997) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295756757.
Physician's Profile
| Full Name | William P Johnson Jr |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 21 Years |
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| Location | 108 Island Professional Park, St Simons Island, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- William P Johnson Jr attended and graduated from Indiana University School Of Medicine in 2004
NPI Data:
- NPI Number: 1295756757
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 05/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042219768
- Enrollment ID: I20240628000577
Medical Identifiers
Medical identifiers for William P Johnson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295756757 | NPI | - | NPPES |
| R0961 | Other | KY | LICENSE |
| 01063853A | Other | IN | INDIANA STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 32549 (South Carolina) | Secondary |
| 207P00000X | Emergency Medicine | R0961 (Kentucky) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 064997 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Prisma Health Medical Group-midlands | 5991099707 | 919 |
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. William P Johnson Jr allows following entities to bill medicare on his behalf.
| Entity Name | Prisma Health Medical Group-midlands |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275988321
PECOS PAC ID: 5991099707
Enrollment ID: O20160802001226 |
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| Entity Name | Ies South Carolina Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821779695
PECOS PAC ID: 1355705070
Enrollment ID: O20230914000885 |
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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. William P Johnson Jr 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 |
|---|
William P Johnson Jr, MD
108 Island Professional Park,
St Simons Island, GA 31522-2880
Ph: (912) 268-4372 | William P Johnson Jr, MD
108 Island Professional Park,
St Simons Island, GA 31522-2880
Ph: (912) 268-4372 |
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