Kima Johnson, FNP is a medicare enrolled "Nurse Practitioner" physician in Whitehall, Michigan. Her current practice location is
916 E Lewis St, Heartland Care Partners, Whitehall, Michigan. You can reach out to her office (for appointments etc.) via phone at
(419) 252-6018.
Kima Johnson is licensed to practice in Michigan (license number 4704133105) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114959103.
Physician's Profile
Full Name | Kima Johnson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 916 E Lewis St, Whitehall, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114959103
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 09/10/2015
Medicare PECOS Information:
- PECOS PAC ID: 8527047455
- Enrollment ID: I20040715000331
Medical Identifiers
Medical identifiers for Kima Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114959103 | NPI | - | NPPES |
4338002 TYPE 11 | Medicaid | MI | |
500F410070 | Other | MI | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | JK133105 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | 4704133105 (Michigan) | Primary |
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. Kima 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 |
Kima Johnson, FNP 333 N Summit St Fl 7, Hcr Manorcare Medical Services Of Florida Llc, Toledo, OH 43604-2615 Ph: (419) 252-6018 | Kima Johnson, FNP 916 E Lewis St, Heartland Care Partners, Whitehall, MI 49461-1699 Ph: (419) 252-6018 |
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