Sandra Louise Johnson, - Medicare Family Medicine in Kingston, WA

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Sandra Louise Johnson, is a medicare enrolled "Family Medicine" in Kingston, Washington. Her current practice location is 32020 Little Boston Rd Ne, Kingston, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 297-2840.

Sandra Louise Johnson is licensed to practice in Washington (license number AP60866033) 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 1710473590.

Contact Information

Sandra Louise Johnson,
32020 Little Boston Rd Ne,
Kingston, WA 98346-9734
(360) 297-2840
(360) 925-3897

Map and Direction




Provider's Profile

Full NameSandra Louise Johnson
GenderFemale
SpecialityFamily Medicine
Location32020 Little Boston Rd Ne, Kingston, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710473590
  • Provider Enumeration Date: 07/05/2018
  • Last Update Date: 03/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375946304
  • Enrollment ID: I20210916002047

Medical Identifiers

Medical identifiers for Sandra Louise Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710473590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP60866033 (Washington)Secondary
207Q00000XFamily Medicine AP60866033 (Washington)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. Sandra Louise Johnson allows following entities to bill medicare on her behalf.
Entity NamePort Gamble S'klallam Tribe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760428650
PECOS PAC ID: 6204737927
Enrollment ID: O20040115001158

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. Sandra Louise 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 AddressPractice Location Address
Sandra Louise Johnson,
32020 Little Boston Rd Ne,
Kingston, WA 98346-9734

Ph: (360) 297-2840		Sandra Louise Johnson,
32020 Little Boston Rd Ne,
Kingston, WA 98346-9734

Ph: (360) 297-2840

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.