Dr Lawrence Revel Johnson, MD - Medicare Pathology in Farmingdale, NY

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Dr Lawrence Revel Johnson, MD is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in Farmingdale, New York. His current practice location is Icon Plc, 123 Smith St., Farmingdale, New York. You can reach out to his office (for appointments etc.) via phone at (631) 306-9808.

Dr Lawrence Revel Johnson is licensed to practice in New York (license number 296540) 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 1881616241.

Contact Information

Dr Lawrence Revel Johnson, MD
Icon Plc, 123 Smith St.,
Farmingdale, NY 11735
(631) 306-9808
Not Available

Map and Direction




Physician's Profile

Full NameDr Lawrence Revel Johnson
GenderMale
SpecialityPathology - Clinical Pathology/laboratory Medicine
LocationIcon Plc, Farmingdale, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881616241
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 11/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8022095793
  • Enrollment ID: I20040630000931

Medical Identifiers

Medical identifiers for Dr Lawrence Revel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881616241NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZC0008XPathology - Clinical Informatics 296540 (New York)Secondary
207ZH0000XPathology - Hematology 23736 (Oklahoma)Secondary
207ZH0000XPathology - Hematology MD072950L (Pennsylvania)Secondary
207ZI0100XPathology - Immunopathology 296540 (New York)Secondary
207ZP0007XPathology - Molecular Genetic Pathology 296540 (New York)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 23736 (Oklahoma)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology MD072950L (Pennsylvania)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 296540 (New York)Secondary
207ZP0105XPathology - Clinical Pathology/laboratory Medicine 296540 (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. Dr Lawrence Revel Johnson allows following entities to bill medicare on his behalf.
Entity NameCtca Physicans Group Of Oklahoma, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053309591
PECOS PAC ID: 2163328774
Enrollment ID: O20031212000074
Entity NameLab Medicine Of Greater Tulsa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053364760
PECOS PAC ID: 9436117512
Enrollment ID: O20041221000316

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. Dr Lawrence Revel 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
Dr Lawrence Revel Johnson, MD
123 Smith St,
Farmingdale, NY 11735-1004

Ph: (631) 306-9808		Dr Lawrence Revel Johnson, MD
Icon Plc, 123 Smith St.,
Farmingdale, NY 11735

Ph: (631) 306-9808

Reviews and Comments


Pathology Doctors in Farmingdale, NY


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.