Dr Quan Johnson, MD is a medicare enrolled "Pediatrics" physician in Grovetown, Georgia. Her current practice location is
5135 Wrightsboro Rd Ste B, Grovetown, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 854-2500.
Dr Quan Johnson is licensed to practice in Georgia (license number 94866) 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 1699932418.
Physician's Profile
Full Name | Dr Quan Johnson |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 5135 Wrightsboro Rd Ste B, Grovetown, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699932418
- Provider Enumeration Date: 05/20/2008
- Last Update Date: 01/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254513153
- Enrollment ID: I20160715001015
Medical Identifiers
Medical identifiers for Dr Quan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699932418 | NPI | - | NPPES |
003284191D | Medicaid | GA | |
003284191A | Medicaid | GA | |
003284191B | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 94866 (Georgia) | 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 Quan Johnson allows following entities to bill medicare on her behalf.
Entity Name | Thomasville Archdale Pediatrics Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427018894 PECOS PAC ID: 5799814398 Enrollment ID: O20100519000829 |
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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 Quan 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 Quan Johnson, MD 411 Town Park Blvd, Evans, GA 30809-3487 Ph: (706) 854-2500 | Dr Quan Johnson, MD 5135 Wrightsboro Rd Ste B, Grovetown, GA 30813-2803 Ph: (706) 854-2500 |
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