Melinda E Johnson, MD is a medicare enrolled "Specialist" physician in Ada, Michigan. Her current practice location is
5039 Mountain Ridge Dr Ne, Ada, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 581-3015.
Melinda E Johnson is licensed to practice in Michigan (license number MJ070028) 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 1821088220.
Physician's Profile
Full Name | Melinda E Johnson |
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Gender | Female |
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Speciality | Specialist |
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Location | 5039 Mountain Ridge Dr Ne, Ada, 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: 1821088220
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 08/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234110875
- Enrollment ID: I20040528000258
Medical Identifiers
Medical identifiers for Melinda E Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821088220 | NPI | - | NPPES |
4319428 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 4301070028 (Michigan) | Secondary |
174400000X | Specialist | MJ070028 (Michigan) | 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. Melinda E Johnson allows following entities to bill medicare on her behalf.
Entity Name | Spectrum Health Primary Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
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Entity Name | Spectrum Health Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922090554 PECOS PAC ID: 8921904764 Enrollment ID: O20040119000501 |
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Entity Name | Spectrum Health Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558407189 PECOS PAC ID: 8921904764 Enrollment ID: O20040120000997 |
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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. Melinda E 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 |
Melinda E Johnson, MD 5039 Mountain Ridge Dr Ne, Ada, MI 49301-9557 Ph: (616) 581-3015 | Melinda E Johnson, MD 5039 Mountain Ridge Dr Ne, Ada, MI 49301-9557 Ph: (616) 581-3015 |
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