Kenneth Lee Johnson, MD is a medicare enrolled "Otolaryngology" physician in Clayton, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Unc Physicians Network and his current practice location is
34 Healthpark Way Ste 100d, Clayton, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 585-8850.
Kenneth Lee Johnson is licensed to practice in North Carolina (license number 2009-01364) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124061783.
Physician's Profile
Full Name | Kenneth Lee Johnson |
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Gender | Male |
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Speciality | Otolaryngology |
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Experience | 26 Years |
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Location | 34 Healthpark Way Ste 100d, Clayton, North Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kenneth Lee Johnson attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1998
NPI Data:
- NPI Number: 1124061783
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 05/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456413053
- Enrollment ID: I20090910000671
Medical Identifiers
Medical identifiers for Kenneth Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124061783 | NPI | - | NPPES |
5912563 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 2009-01364 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Unc Physicians Network | 5496940546 | 719 |
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. Kenneth Lee Johnson allows following entities to bill medicare on his behalf.
Entity Name | Unc Physicians Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
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Entity Name | Dlp Wilson Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932521010 PECOS PAC ID: 2567695307 Enrollment ID: O20140502000396 |
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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. Kenneth Lee 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 |
Kenneth Lee Johnson, MD 2000 Perimeter Park Dr Ste 200, Morrisville, NC 27560-8442 Ph: () - | Kenneth Lee Johnson, MD 34 Healthpark Way Ste 100d, Clayton, NC 27520-4497 Ph: (919) 585-8850 |
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