Kelly Rose Johnson, - Medicare Surgery in Bronx, NY

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Kelly Rose Johnson, is a medicare enrolled "Surgery" physician in Bronx, New York. Her current practice location is 1521 Jarret Pl, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 862-8840.

Kelly Rose Johnson is licensed to practice in New York (license number 310107-01) 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 1427410281.

Contact Information

Kelly Rose Johnson,
1521 Jarret Pl,
Bronx, NY 10461-2606
(718) 862-8840
Not Available

Map and Direction




Physician's Profile

Full NameKelly Rose Johnson
GenderFemale
SpecialitySurgery
Location1521 Jarret Pl, Bronx, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427410281
  • Provider Enumeration Date: 03/22/2016
  • Last Update Date: 04/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547556946
  • Enrollment ID: I20210920002951

Medical Identifiers

Medical identifiers for Kelly Rose Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427410281NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery OT017016 (Pennsylvania)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208600000XSurgery 310107-01 (New York)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. Kelly Rose Johnson allows following entities to bill medicare on her behalf.
Entity NameMontefiore Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235
Entity NameNorth Shore Hematology Oncology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396794574
PECOS PAC ID: 1456243641
Enrollment ID: O20040324001766

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. Kelly Rose 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
Kelly Rose Johnson,
206 Brooksite Dr,
Smithtown, NY 11787-4443

Ph: (845) 656-4818		Kelly Rose Johnson,
1521 Jarret Pl,
Bronx, NY 10461-2606

Ph: (718) 862-8840

Reviews and Comments


Surgery Doctors in Bronx, NY

Dr. Sydney George Mccalla, M.B.B.S
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Practice Location: 234 E 149th St, Bronx, NY 10451
Phone: 718-579-5000    Fax: 718-579-4620
Cosman Camilo Mandujano Bejarano,
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Practice Location: 111 E 210th St, Bronx, NY 10467
Phone: 832-675-0676    
Dr. Mahalingam Sivakumar, M.D.
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Practice Location: 1650 Selwyn Ave, Acn Morris, Bronx, NY 10457
Phone: 718-960-1320    Fax: 718-960-1051
Dr. Rajendra J Saraiya, M.D.
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Dr. Eugene Michael Edynak, M.D.
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Practice Location: 2015 Grand Concourse, Bronx, NY 10453
Phone: 718-299-7295    Fax: 718-299-6797
Howard R Doyle, MD
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Practice Location: Mmc - Critical Care Medicine Moses Div, 111 East 210th Street, Bronx, NY 10467
Phone: 718-920-2479    
Hayavadhan Thuppal, M.D.
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Practice Location: 1400 Pelham Parkway South, Building 1, 2w-6, Bronx, NY 10461
Phone: 718-918-4342    

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.