Angel Marie Johnson, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in New York, Massachusetts. She went to New York Medical College and graduated in 2010 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Greater Boston Urology Llc and her current practice location is
910 Washington Street, Suite 200, New York, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(408) 529-2965.
Angel Marie Johnson is licensed to practice in Massachusetts (license number 258657) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194005934.
Physician's Profile
Full Name | Angel Marie Johnson |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 14 Years |
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Location | 910 Washington Street, New York, Massachusetts |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Angel Marie Johnson attended and graduated from New York Medical College in 2010
NPI Data:
- NPI Number: 1194005934
- Provider Enumeration Date: 08/25/2011
- Last Update Date: 01/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 7214154095
- Enrollment ID: I20170512001716
Medical Identifiers
Medical identifiers for Angel Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194005934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 258657 (Massachusetts) | Secondary |
207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 258657 (Massachusetts) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 258657 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Greater Boston Urology Llc | 1153516513 | 32 |
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. Angel Marie Johnson allows following entities to bill medicare on her behalf.
Entity Name | Greater Boston Urology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003120411 PECOS PAC ID: 1153516513 Enrollment ID: O20101110001263 |
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Entity Name | Greater Boston Urology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003120411 PECOS PAC ID: 1153516513 Enrollment ID: O20101111000020 |
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Entity Name | Gbu Bidco Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972051977 PECOS PAC ID: 1052697711 Enrollment ID: O20170411002329 |
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Entity Name | Gbu Steward Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275064909 PECOS PAC ID: 4385911593 Enrollment ID: O20170518000908 |
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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. Angel Marie 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 |
Angel Marie Johnson, MD 910 Washington St, Dedham, MA 02026-6022 Ph: (408) 529-2965 | Angel Marie Johnson, MD 910 Washington Street, Suite 200, New York, MA 10028-7173 Ph: (408) 529-2965 |
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