Dr Nicholas S Johnson, MD - Medicare Diagnostic Radiology in Green Bay, WI

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Dr Nicholas S Johnson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Green Bay, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2012 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Associates Of The Fox Valley Sc, Gbr Sheboygan Llc, St Vincent Hospital-hospital Sisters-third Order Of St Francis, Green Bay Radiology Sc, St. Nicholas Hospital-sisters Of The Third Order Of St Francis, Orthopedic And Sports Medicine Specialists Of Green Bay Sc and his current practice location is 835 S Van Buren St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-0111.

Dr Nicholas S Johnson is licensed to practice in Wisconsin (license number 66078-20) 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 1548520695.

Contact Information

Dr Nicholas S Johnson, MD
835 S Van Buren St,
Green Bay, WI 54301-3526
(920) 433-0111
Not Available

Map and Direction




Physician's Profile

Full NameDr Nicholas S Johnson
GenderMale
SpecialityDiagnostic Radiology
Experience12 Years
Location835 S Van Buren St, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nicholas S Johnson attended and graduated from Medical College Of Wisconsin in 2012
  NPI Data:
  • NPI Number: 1548520695
  • Provider Enumeration Date: 05/23/2012
  • Last Update Date: 09/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0941459747
  • Enrollment ID: I20190425000007

Medical Identifiers

Medical identifiers for Dr Nicholas S Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548520695NPI-NPPES
1548520695MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 66078-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Vincent HospitalGreen bay, WIHospital
Door County Medical CenterSturgeon bay, WIHospital
St Nicholas HospitalSheboygan, WIHospital
St Mary's Hospital Medical CenterGreen bay, WIHospital
Hshs St Clare Memorial HospitalOconto falls, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Associates Of The Fox Valley Sc044615274849
Gbr Sheboygan Llc195134106420
St Vincent Hospital-hospital Sisters-third Order Of St Francis5799694675546
Green Bay Radiology Sc711390831021
St. Nicholas Hospital-sisters Of The Third Order Of St Francis8325931652151
Orthopedic And Sports Medicine Specialists Of Green Bay Sc973926471437

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 Nicholas S Johnson allows following entities to bill medicare on his behalf.
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259
Entity NameRadiology Associates Of The Fox Valley Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477539443
PECOS PAC ID: 0446152748
Enrollment ID: O20040127000011
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameGreen Bay Radiology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447327986
PECOS PAC ID: 7113908310
Enrollment ID: O20040525000803
Entity NameGbr Sheboygan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467529917
PECOS PAC ID: 1951341064
Enrollment ID: O20050509000490
Entity NameOrthopedic & Sports Medicine Specialists Of Green Bay Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760670145
PECOS PAC ID: 9739264714
Enrollment ID: O20080314000537
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423
Entity NameFroedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699

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 Nicholas S 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 AddressPractice Location Address
Dr Nicholas S Johnson, MD
Po Box 259688,
Madison, WI 53725-9688

Ph: () -		Dr Nicholas S Johnson, MD
835 S Van Buren St,
Green Bay, WI 54301-3526

Ph: (920) 433-0111

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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