Amy Grace Johnson, MD in Muncie, IN - Medicare Student in an Organized Health Care Education/Training Program

Amy Grace Johnson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Muncie, Indiana. Her current practice location is 2401 W University Ave, Muncie, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 741-1095.

Amy Grace Johnson is licensed to practice in * (Not Available) (license number ) 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 1831695717.

Contact Information

	Amy Grace Johnson, MD
	2401 W University Ave, Muncie, IN 47303-3428
	(765) 741-1095
	Not Available

Map and Direction

Physician's Profile

Full Name	Amy Grace Johnson
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	2401 W University Ave, Muncie, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831695717
Provider Enumeration Date: 04/01/2018
Last Update Date: 11/26/2019

Medicare PECOS Information:

PECOS PAC ID: 1759789449
Enrollment ID: I20211011001743

Medical Identifiers

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

Identifier	Type	State	Issuer
1831695717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	35.138097 (Ohio)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Amy Grace Johnson allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044

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. Amy Grace 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
Amy Grace Johnson, MD 2401 W University Ave, Muncie, IN 47303-3428 Ph: (765) 741-1095	Amy Grace Johnson, MD 2401 W University Ave, Muncie, IN 47303-3428 Ph: (765) 741-1095

Amy Grace Johnson, MD - Medicare Student in an Organized Health Care Education/Training Program in Muncie, IN