Dr Nicole Marie Johnson, MD - Medicare Pediatrics in Cleveland, OH

Dr Nicole Marie Johnson, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Cleveland, Ohio. Her current practice location is 11100 Euclid Avenue, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 844-7700.

Dr Nicole Marie Johnson is licensed to practice in Ohio (license number 35086941) 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 1710190947.

Contact Information

Dr Nicole Marie Johnson, MD
11100 Euclid Avenue,
Cleveland, OH 44106
(216) 844-7700
Not Available

Map and Direction




Physician's Profile

Full NameDr Nicole Marie Johnson
GenderFemale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location11100 Euclid Avenue, Cleveland, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710190947
  • Provider Enumeration Date: 05/07/2007
  • Last Update Date: 03/14/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2466641378
  • Enrollment ID: I20110107000494

Medical Identifiers

Medical identifiers for Dr Nicole Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710190947NPI-NPPES
1026733980001MedicaidPA
2957870MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LP3000XAnesthesiology - Pediatric Anesthesiology 35-086941 (Ohio)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 35086941 (Ohio)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 Marie Johnson allows following entities to bill medicare on her behalf.
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301

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 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 AddressPractice Location Address
Dr Nicole Marie Johnson, MD
24701 Euclid Avenue, 3rd Floor,
Euclid, OH 44117

Ph: () -
Dr Nicole Marie Johnson, MD
11100 Euclid Avenue,
Cleveland, OH 44106

Ph: (216) 844-7700

Reviews and Comments


Pediatrics Doctors in Cleveland, OH

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Practice Location: 11100 Euclid Avenue, Cleveland, OH 44106
Phone: 216-844-7700    

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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