Dr Keonna D'wyette Johnson, MD in Philadelphia, PA

Dr Keonna D'wyette Johnson, MD is a medicare enrolled "Surgery" physician in Philadelphia, Pennsylvania. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Urgent Specialty Associates Of Texas Pllc and her current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-3133.

Dr Keonna D'wyette Johnson is licensed to practice in Pennsylvania (license number MD474272) 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 1578824751.

Contact Information

	Dr Keonna D'wyette Johnson, MD
	3401 N Broad St, Philadelphia, PA 19140-5103
	(215) 707-3133
	(215) 707-3945

Map and Direction

Physician's Profile

Full Name	Dr Keonna D'wyette Johnson
Gender	Female
Speciality	General Surgery
Experience	12 Years
Location	3401 N Broad St, Philadelphia, Pennsylvania
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:

Dr Keonna D'wyette Johnson graduated from medical school in 2012

NPI Data:

NPI Number: 1578824751
Provider Enumeration Date: 06/04/2012
Last Update Date: 08/05/2021

Medicare PECOS Information:

PECOS PAC ID: 7416189477
Enrollment ID: I20230303001366

Medical Identifiers

Medical identifiers for Dr Keonna D'wyette Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578824751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD474272 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hca Houston Healthcare Northwest	Houston, TX	Hospital
Kingwood Medical Center	Kingwood, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Urgent Specialty Associates Of Texas Pllc	6507258209	51

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 Keonna D'wyette Johnson allows following entities to bill medicare on her behalf.

Entity Name	Urgent Specialty Associates Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790350445 PECOS PAC ID: 6507258209 Enrollment ID: O20220107002070

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 Keonna D'wyette 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 Keonna D'wyette Johnson, MD 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-3133	Dr Keonna D'wyette Johnson, MD 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-3133

Reviews and Comments

Surgery Doctors in Philadelphia, PA

Elizabeth Diane Dauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3133 Fax: 215-707-2915
Dr. Susete Carneiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 201-317-3485
Victor Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800
Jovanna Micole Linnen, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 245 N 15th St, Room 7150, Philadelphia, PA 19102 Phone: 215-762-3585 Fax: 215-762-3058
Simran Kripalani, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-717-2000
Adrian W Ong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104 Phone: 215-662-7320 Fax: 412-359-8639
Rajeev Prasad, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Erie Ave At Front St, Scpa General Surgery, Philadelphia, PA 19134 Phone: 215-427-5446 Fax: 215-427-4616

Dr Keonna D'wyette Johnson, MD - Medicare General Surgery in Philadelphia, PA