Kevin Mark Johnson, in East Point, GA - Medicare Nurse Practitioner Provider

Kevin Mark Johnson, is a medicare enrolled "Counselor - School" provider in East Point, Georgia. He graduated from healthcare school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wellstar Medical Group, Llc and his current practice location is 1170 Cleveland Ave, East Point, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 466-1249.

Kevin Mark Johnson is licensed to practice in * (Not Available) (license number ) 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 1508515917.

Contact Information

	Kevin Mark Johnson,
	1170 Cleveland Ave, East Point, GA 30344-3615
	(404) 466-1249
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kevin Mark Johnson
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1170 Cleveland Ave, East Point, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kevin Mark Johnson graduated from medical school in 2020

NPI Data:

NPI Number: 1508515917
Provider Enumeration Date: 03/22/2022
Last Update Date: 03/22/2022

Medicare PECOS Information:

PECOS PAC ID: 9032592746
Enrollment ID: I20220812002293

Medical Identifiers

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

Identifier	Type	State	Issuer
1508515917	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YS0200X	Counselor - School	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Cobb Hospital	Austell, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstar Medical Group, Llc	6709065402	1917

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. Kevin Mark Johnson allows following entities to bill medicare on his behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Kevin Mark 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
Kevin Mark Johnson, 106 Cherry Hill Ln, Stockbridge, GA 30281-7359 Ph: (770) 789-8956	Kevin Mark Johnson, 1170 Cleveland Ave, East Point, GA 30344-3615 Ph: (404) 466-1249

Reviews and Comments

Counselor in East Point, GA

Mrs. Ebonny Mills, LPC, NCC, MAC Counselor Medicare: Medicare Enrolled Practice Location: 3465 N Desert Dr Ste 104, East Point, GA 30344 Phone: 404-228-6650
Alicia M. Mercer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3645 Marketplace Blvd, Ste 130-626, East Point, GA 30344 Phone: 404-558-6758 Fax: 404-600-6694
Miss Barbara Johnae Moorer, MA, CADCII, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2872 Church St, East Point, GA 30344 Phone: 404-310-1133 Fax: 888-830-5578
Laresha Foster, M.A., L.M.S.W., CAMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Cleveland Ave, East Point, GA 30344 Phone: 404-564-7063
Candace Avril Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1930 Taylor Ave, East Point, GA 30344 Phone: 781-330-1861
Betty B Williams, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1636 Connally Dr, East Point, GA 30344 Phone: 404-762-4042
Mr. Kenneth Allen Walker, CAMS, CPRP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2675 N Martin St, Bldg #700, East Point, GA 30344 Phone: 404-321-6111 Fax: 404-327-4028

Kevin Mark Johnson, - Medicare Counselor in East Point, GA