Dr Shelsea Lea Johnson, MD - Medicare Pediatrics in Middletown, OH

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Dr Shelsea Lea Johnson, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Middletown, Ohio. Her current practice location is 1036 S Verity Pkwy, Middletown, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 454-1111.

Dr Shelsea Lea Johnson is licensed to practice in Ohio (license number 35-08-4088) 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 1639146822.

Contact Information

Dr Shelsea Lea Johnson, MD
1036 S Verity Pkwy,
Middletown, OH 45044-5513
(513) 454-1111
Not Available

Map and Direction




Physician's Profile

Full NameDr Shelsea Lea Johnson
GenderFemale
SpecialityPediatrics - Pediatric Emergency Medicine
Location1036 S Verity Pkwy, Middletown, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639146822
  • Provider Enumeration Date: 03/07/2006
  • Last Update Date: 03/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6305852195
  • Enrollment ID: I20060303000069

Medical Identifiers

Medical identifiers for Dr Shelsea Lea Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639146822NPI-NPPES
2506747MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0204XPediatrics - Pediatric Emergency Medicine 35-08-4088 (Ohio)Primary
208000000XPediatrics 35-08-4088 (Ohio)Secondary

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 Shelsea Lea Johnson allows following entities to bill medicare on her behalf.
Entity NamePediatric Academic Association, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063419943
PECOS PAC ID: 2961306774
Enrollment ID: O20031124000198
Entity NameUpper Valley Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407872518
PECOS PAC ID: 5597658138
Enrollment ID: O20040206000038

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 Shelsea Lea 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 Shelsea Lea Johnson, MD
300 High St Fl 4,
Hamilton, OH 45011-6078

Ph: (513) 454-1460		Dr Shelsea Lea Johnson, MD
1036 S Verity Pkwy,
Middletown, OH 45044-5513

Ph: (513) 454-1111

Reviews and Comments


Pediatrics Doctors in Middletown, OH

Sheila K. Brady, M.D.
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Practice Location: 1 Medical Center Dr, Maternal Child Health Center, Middletown, OH 45005
Phone: 513-420-5235    Fax: 513-420-5755
Dr. Rebecca A Dandoy, MD
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Medicare: Medicare Enrolled
Practice Location: 331 N Breiel Blvd, Middletown, OH 45042
Phone: 513-424-1856    
Lisa Whitney Flower, D.O.
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Medicare: Not Enrolled in Medicare
Practice Location: 1036 S Verity Pkwy, Middletown, OH 45044
Phone: 513-454-1111    
Dr. Diana E Small, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 331 N Breiel Blvd, Middletown, OH 45042
Phone: 513-424-1856    Fax: 513-424-1850
Dr. James Michael Komer, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 331 N Breier Road, Middletown, OH 45042
Phone: 513-424-1856    Fax: 513-424-1850

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.