Kyle Thomas Johnson, MD in Charlotte, NC

Kyle Thomas Johnson, MD is a medicare enrolled "Urology" physician in Charlotte, North Carolina. His current practice location is 325 Hawthorne Ln Ste 300, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 372-5180.

Kyle Thomas Johnson is licensed to practice in North Carolina (license number 2023-01775) 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 1538659420.

Contact Information

	Kyle Thomas Johnson, MD
	325 Hawthorne Ln Ste 300, Charlotte, NC 28204-2536
	(704) 372-5180
	(704) 376-6280

Map and Direction

Physician's Profile

Full Name	Kyle Thomas Johnson
Gender	Male
Speciality	Urology
Location	325 Hawthorne Ln Ste 300, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538659420
Provider Enumeration Date: 05/16/2018
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 6204191265
Enrollment ID: I20231014000335

Medical Identifiers

Medical identifiers for Kyle Thomas Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538659420	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	2023-01775 (North Carolina)	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. Kyle Thomas Johnson allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

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. Kyle Thomas 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
Kyle Thomas Johnson, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Kyle Thomas Johnson, MD 325 Hawthorne Ln Ste 300, Charlotte, NC 28204-2536 Ph: (704) 372-5180

Reviews and Comments

Urology Doctors in Charlotte, NC

Mark J. Makhuli, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-355-8686
Dr. George Albert Dasher, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 10512 Park Rd, Suite 113, Charlotte, NC 28210 Phone: 704-541-8207
Dr. Javier Piraino, D.O Urology Medicare: Medicare Enrolled Practice Location: 10650 Park Rd Ste 130, Charlotte, NC 28210 Phone: 704-752-3730 Fax: 704-752-9056
Dr. Craig H Robson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 335 N Caswell Rd, Charlotte, NC 28204 Phone: 704-384-7980
Peter Earl Clark, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1021 Morehead Medical Dr, Ste 6100, Charlotte, NC 28204 Phone: 980-442-2000
E Matthew Dilizia, MD Urology Medicare: Medicare Enrolled Practice Location: 10660 Park Rd Ste 4100, Charlotte, NC 28210 Phone: 704-541-8207 Fax: 704-540-8288
Dr. Lawrence Andrew Eskew, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 335 N Caswell Rd, Charlotte, NC 28204 Phone: 704-384-7980 Fax: 704-384-7985

Kyle Thomas Johnson, MD - Medicare Urology in Charlotte, NC