Mikall Johnson, is a
Physical Medicine & Rehabilitation physician based in Maryville, Tennessee. Mikall Johnson is licensed to practice in Tennessee (license number 5395) and her current practice location is 2320 E Lamar Alexander Pkwy, Maryville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 273-8300.
NPI number for Mikall Johnson is 1740744291 and her current mailing address is 1504 Chariot Ln, Knoxville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740744291.
Physician's Profile
| Full Name | Mikall Johnson |
|---|
| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 2320 E Lamar Alexander Pkwy, Maryville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740744291
- Provider Enumeration Date: 01/29/2019
- Last Update Date: 01/29/2019
Medical Identifiers
Medical identifiers for Mikall Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740744291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 5395 (Tennessee) | 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. Mikall Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mikall Johnson,
1504 Chariot Ln,
Knoxville, TN 37918-6767
Ph: () - | Mikall Johnson,
2320 E Lamar Alexander Pkwy,
Maryville, TN 37804-5316
Ph: (865) 273-8300 |
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