Kevin M Johnson, MD in New Haven, CT

Kevin M Johnson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in New Haven, Connecticut. His current practice location is 55 Lock Street, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 432-0076.

Kevin M Johnson is licensed to practice in Connecticut (license number 032236) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932180858.

Contact Information

	Kevin M Johnson, MD
	55 Lock Street, New Haven, CT 06520-8237
	(203) 432-0076
	(203) 432-7289

Map and Direction

Physician's Profile

Full Name	Kevin M Johnson
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	55 Lock Street, New Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932180858
Provider Enumeration Date: 11/08/2005
Last Update Date: 12/29/2010

Medicare PECOS Information:

PECOS PAC ID: 9133175938
Enrollment ID: I20050324000681

Medical Identifiers

Medical identifiers for Kevin M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932180858	NPI	-	NPPES
001322362	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	032236 (Connecticut)	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 M Johnson allows following entities to bill medicare on his behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

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 M 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 M Johnson, MD Po Box 208237, 55 Lock Street, New Haven, CT 06520-8237 Ph: (203) 432-0076	Kevin M Johnson, MD 55 Lock Street, New Haven, CT 06520-8237 Ph: (203) 432-0076

Reviews and Comments

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Kevin M Johnson, MD - Medicare Radiology in New Haven, CT