Dr Kenneth M Johnson Iii, MD is a medicare enrolled "Emergency Medicine" physician in Southern Pines, North Carolina. He went to State University Of Ny Upstate Medical University and graduated in 2004 and has 20 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Sandhills Emergency Physicians Pa and his current practice location is
1271 Old Us 1 Hwy, Southern Pines, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(607) 423-3949.
Dr Kenneth M Johnson Iii is licensed to practice in New York (license number 240274) 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 1740209410.
Physician's Profile
Full Name | Dr Kenneth M Johnson Iii |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 20 Years |
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Location | 1271 Old Us 1 Hwy, Southern Pines, 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:
- Dr Kenneth M Johnson Iii attended and graduated from State University Of Ny Upstate Medical University in 2004
NPI Data:
- NPI Number: 1740209410
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 08/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709989023
- Enrollment ID: I20180326000433
Medical Identifiers
Medical identifiers for Dr Kenneth M Johnson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740209410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 240274 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sandhills Emergency Physicians Pa | 8729062609 | 10 |
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 Kenneth M Johnson Iii allows following entities to bill medicare on his behalf.
Entity Name | Sandhills Emergency Physicians Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003853409 PECOS PAC ID: 8729062609 Enrollment ID: O20040617000371 |
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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. Dr Kenneth M Johnson Iii 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 |
Dr Kenneth M Johnson Iii, MD 340 Fox Box Rd, Vass, NC 28394-3301 Ph: (607) 423-3949 | Dr Kenneth M Johnson Iii, MD 1271 Old Us 1 Hwy, Southern Pines, NC 28387-6308 Ph: (607) 423-3949 |
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