Kelli Elizabeth Johnston, DO is a medicare enrolled "Pediatrics" physician in Johns Island, South Carolina. Her current practice location is
1834 Bluebird Rd, Johns Island, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 894-3490.
Kelli Elizabeth Johnston is licensed to practice in South Carolina (license number 927) 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 1689797268.
Physician's Profile
Full Name | Kelli Elizabeth Johnston |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1834 Bluebird Rd, Johns Island, South Carolina |
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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: 1689797268
- Provider Enumeration Date: 04/09/2007
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052713492
- Enrollment ID: I20210708000646
Medical Identifiers
Medical identifiers for Kelli Elizabeth Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689797268 | NPI | - | NPPES |
009270 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 927 (South Carolina) | 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. Kelli Elizabeth Johnston allows following entities to bill medicare on her behalf.
Entity Name | Coastal Pediatric Associates, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770700759 PECOS PAC ID: 8426464736 Enrollment ID: O20210311001646 |
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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. Kelli Elizabeth Johnston 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 |
Kelli Elizabeth Johnston, DO 1834 Bluebird Rd Ofc 7, Johns Island, SC 29455-8308 Ph: (843) 894-3490 | Kelli Elizabeth Johnston, DO 1834 Bluebird Rd, Johns Island, SC 29455-8308 Ph: (843) 894-3490 |
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