Dr Scott Hazlehurst Johnson, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Grand Blanc, Michigan. His current practice location is
1 Genesys Pkwy Ste 3452, Grand Blanc, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 849-2600.
Dr Scott Hazlehurst Johnson is licensed to practice in Michigan (license number 4301087166) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962500900.
Physician's Profile
| Full Name | Dr Scott Hazlehurst Johnson |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 1 Genesys Pkwy Ste 3452, Grand Blanc, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962500900
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 07/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557308822
- Enrollment ID: I20060420000199
Medical Identifiers
Medical identifiers for Dr Scott Hazlehurst Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962500900 | NPI | - | NPPES |
| 3303312811 | Other | MI | BCBS INDIVIDUAL PIN |
| PENDING | Medicaid | SC | |
| 4855726 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 36390 (South Carolina) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 4301087166 (Michigan) | 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 Scott Hazlehurst Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Genesys Practice Partners Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982647004
PECOS PAC ID: 3476456492
Enrollment ID: O20040128000729 |
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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 Scott Hazlehurst 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 |
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Dr Scott Hazlehurst Johnson, MD
16001 W 9 Mile Rd # 3,
Southfield, MI 48075-4818
Ph: (248) 849-2600 | Dr Scott Hazlehurst Johnson, MD
1 Genesys Pkwy Ste 3452,
Grand Blanc, MI 48439-8065
Ph: (248) 849-2600 |
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