Dr Eunice Louise Johnson, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Jackson, Kentucky. Her current practice location is
540 Jett Dr, Jackson, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 666-6240.
Dr Eunice Louise Johnson is licensed to practice in Kentucky (license number 21653) 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 1528067840.
Physician's Profile
| Full Name | Dr Eunice Louise Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Obstetrics & Gynecology - Gynecology |
|---|
| Location | 540 Jett Dr, Jackson, Kentucky |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1528067840
- Provider Enumeration Date: 07/19/2005
- Last Update Date: 02/23/2012
Medicare PECOS Information:
- PECOS PAC ID: 4486820149
- Enrollment ID: I20111229000601
Medical Identifiers
Medical identifiers for Dr Eunice Louise Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528067840 | NPI | - | NPPES |
| 64216237 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 21653 (Kentucky) | 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. Dr Eunice Louise Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Jackson Physician Corp |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1841234671
PECOS PAC ID: 9436149275
Enrollment ID: O20040514000238 |
|---|
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. Dr Eunice 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 Address | Practice Location Address |
|---|
Dr Eunice Louise Johnson, MD
540 Jett Dr,
Jackson, KY 41339-9622
Ph: (606) 666-6240 | Dr Eunice Louise Johnson, MD
540 Jett Dr,
Jackson, KY 41339-9622
Ph: (606) 666-6240 |
Reviews and Comments