Kathleen Johanson, DO is a medicare enrolled "Anesthesiology" physician in Valley Cottage, New York. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice North Shore - Lij Anesthesiology, Pc and her current practice location is
905 Stockton Rd, Valley Cottage, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 641-8753.
Kathleen Johanson is licensed to practice in New York (license number 294456) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528334943.
Physician's Profile
Full Name | Kathleen Johanson |
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Gender | Female |
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Speciality | Anesthesiology |
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Experience | 12 Years |
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Location | 905 Stockton Rd, Valley Cottage, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kathleen Johanson graduated from medical school in 2012
NPI Data:
- NPI Number: 1528334943
- Provider Enumeration Date: 03/29/2012
- Last Update Date: 04/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 9133478936
- Enrollment ID: I20180827002584
Medical Identifiers
Medical identifiers for Kathleen Johanson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528334943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 294456 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
North Shore - Lij Anesthesiology, Pc | 1153602453 | 796 |
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. Kathleen Johanson allows following entities to bill medicare on her behalf.
Entity Name | Physicians Of University Hospital Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417901323 PECOS PAC ID: 5890877542 Enrollment ID: O20080204000002 |
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Entity Name | North Shore - Lij Anesthesiology, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
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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. Kathleen Johanson 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 |
Kathleen Johanson, DO 905 Stockton Rd, Valley Cottage, NY 10989-2637 Ph: (845) 641-8753 | Kathleen Johanson, DO 905 Stockton Rd, Valley Cottage, NY 10989-2637 Ph: (845) 641-8753 |
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