Kevin D Johnson, MD is a medicare enrolled "Ophthalmology" physician in Port Huron, Michigan. He went to Wayne State University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
2609 Electric Ave, Ste. A, Port Huron, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 982-1300.
Kevin D Johnson is licensed to practice in Michigan (license number 4301054492) 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 1184721599.
Physician's Profile
Full Name | Kevin D Johnson |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 35 Years |
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Location | 2609 Electric Ave, Port Huron, Michigan |
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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:
- Kevin D Johnson attended and graduated from Wayne State University School Of Medicine in 1989
NPI Data:
- NPI Number: 1184721599
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 8123182177
- Enrollment ID: I20090205000602
Medical Identifiers
Medical identifiers for Kevin D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184721599 | NPI | - | NPPES |
1807401112 | Other | MI | BCBSM |
2923602 | Medicaid | MI | |
3149682 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 4301054492 (Michigan) | Primary |
Medical Facilities Affiliation
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. Kevin D Johnson allows following entities to bill medicare on his behalf.
Entity Name | Blue Water Eye Care Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104081819 PECOS PAC ID: 5496819435 Enrollment ID: O20090205000500 |
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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. Kevin D 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 |
Kevin D Johnson, MD 2609 Electric Ave, Ste. A, Port Huron, MI 48060-6589 Ph: (810) 982-1300 | Kevin D Johnson, MD 2609 Electric Ave, Ste. A, Port Huron, MI 48060-6589 Ph: (810) 982-1300 |
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