Dr Nicole Janine Johnson, - Medicare Pediatrics in Lakewood, WA

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Dr Nicole Janine Johnson, is a medicare enrolled "Pediatrics" physician in Lakewood, Washington. Her current practice location is 10510 Gravelly Lake Dr Sw, Lakewood, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 589-7030.

Dr Nicole Janine Johnson is licensed to practice in Illinois (license number 125-055020) 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 1992961254.

Contact Information

Dr Nicole Janine Johnson,
10510 Gravelly Lake Dr Sw,
Lakewood, WA 98499-5036
(253) 589-7030
(253) 589-7033

Map and Direction




Physician's Profile

Full NameDr Nicole Janine Johnson
GenderFemale
SpecialityPediatrics
Location10510 Gravelly Lake Dr Sw, Lakewood, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992961254
  • Provider Enumeration Date: 08/05/2008
  • Last Update Date: 12/07/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4183840291
  • Enrollment ID: I20160926000945

Medical Identifiers

Medical identifiers for Dr Nicole Janine Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992961254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 125-055020 (Illinois)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 Nicole Janine Johnson allows following entities to bill medicare on her behalf.
Entity NameThe Association Of University Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023041159
PECOS PAC ID: 0446162697
Enrollment ID: O20031105000244
Entity NameThe Association Of Chrmc And University Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255449963
PECOS PAC ID: 9133032964
Enrollment ID: O20031107000585

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 Nicole Janine 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 Nicole Janine Johnson,
1019 Pacific Ave, Ste. 300,
Tacoma, WA 98402-4443

Ph: (253) 597-4550		Dr Nicole Janine Johnson,
10510 Gravelly Lake Dr Sw,
Lakewood, WA 98499-5036

Ph: (253) 589-7030

Reviews and Comments


Pediatrics Doctors in Lakewood, WA

Darlene Renarita Coe, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7424 Bridgeport Way W, Suite 203, Lakewood, WA 98499
Phone: 253-581-2111    Fax: 253-581-2712
Keith Allen Weissinger, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7424 Bridgeport Way W, Suite 103, Lakewood, WA 98499
Phone: 253-581-2111    Fax: 253-581-2712
Dr. Kristi Kay Mckinney, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 11203 Bridgeport Way Sw, Lakewood, WA 98499
Phone: 253-589-1380    Fax: 253-589-1786
Dr. Darryl Dean Tan, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7424 Bridgeport Way W, Suite 203, Lakewood, WA 98499
Phone: 253-581-2523    Fax: 253-581-2712
Ngoc Thien Nguyen, MD, MPH
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7424 Bridgeport Way W Ste 103, Lakewood, WA 98499
Phone: 253-581-2111    Fax: 253-581-7479
Sumner Lee Schoenike, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7424 Bridgeport Way W, Suite 203, Lakewood, WA 98499
Phone: 253-581-2111    Fax: 253-581-2712
Bryson V Ahlers, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6212 75th, Lakewood, WA 98499
Phone: 253-581-6083    

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.

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