Kevin Johnson, - Medicare Psychiatry in Syracuse, NY

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Kevin Johnson, is a medicare enrolled "Psychiatry & Neurology - Addiction Medicine" physician in Syracuse, New York. He went to Js Weill Medical College, Cornell University and graduated in 2014 and has 10 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Crouse Medical Practice Pllc and his current practice location is 1045 James Street, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 472-4471.

Kevin Johnson is licensed to practice in New York (license number 294176) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1396155511.

Contact Information

Kevin Johnson,
1045 James Street,
Syracuse, NY 13203
(315) 472-4471
(315) 999-1377

Map and Direction




Physician's Profile

Full NameKevin Johnson
GenderMale
SpecialityPsychiatry
Experience10 Years
Location1045 James Street, Syracuse, New York
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin Johnson attended and graduated from Js Weill Medical College, Cornell University in 2014
  NPI Data:
  • NPI Number: 1396155511
  • Provider Enumeration Date: 04/28/2014
  • Last Update Date: 09/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496067779
  • Enrollment ID: I20190124003355

Medical Identifiers

Medical identifiers for Kevin Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396155511NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 294176 (New York)Secondary
2084A0401XPsychiatry & Neurology - Addiction Medicine 294176 (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. Kevin Johnson allows following entities to bill medicare on his behalf.
Entity NameCrouse Medical Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922321934
PECOS PAC ID: 8426189622
Enrollment ID: O20100702000336
Entity NamePsychiatry Faculty Practice, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881084820
PECOS PAC ID: 9234458530
Enrollment ID: O20150508000699
Entity NameK Johnson Md
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548892201
PECOS PAC ID: 5890113864
Enrollment ID: O20200909000243

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 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
Kevin Johnson,
129 Saddlestone Pl Apt A,
Camillus, NY 13031-1688

Ph: (248) 914-8091		Kevin Johnson,
1045 James Street,
Syracuse, NY 13203

Ph: (315) 472-4471

Reviews and Comments


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Sarah Rosner, MD
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Wilbur Theodore Albrecht Iii, M.D.
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Dr. Clarence G. White, M.D.
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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.