Mrs Angel Michelle Johnson, MD in Purvis, MS

Mrs Angel Michelle Johnson, MD is a medicare enrolled "Family Medicine" physician in Purvis, Mississippi. She went to Tulane University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Hattiesburg Clinic, Pa and her current practice location is 102 Shelby Speights Dr, Purvis, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 794-8065.

Mrs Angel Michelle Johnson is licensed to practice in Mississippi (license number 21350) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275705436.

Contact Information

	Mrs Angel Michelle Johnson, MD
	102 Shelby Speights Dr, Purvis, MS 39475-4151
	(601) 794-8065
	(601) 794-5640

Map and Direction

Physician's Profile

Full Name	Mrs Angel Michelle Johnson
Gender	Female
Speciality	Family Practice
Experience	16 Years
Location	102 Shelby Speights Dr, Purvis, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Angel Michelle Johnson attended and graduated from Tulane University School Of Medicine in 2008

NPI Data:

NPI Number: 1275705436
Provider Enumeration Date: 03/27/2008
Last Update Date: 07/20/2020

Medicare PECOS Information:

PECOS PAC ID: 2163691551
Enrollment ID: I20110801000261

Medical Identifiers

Medical identifiers for Mrs Angel Michelle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275705436	NPI	-	NPPES
07101318	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	390200000X (Tennessee)	Secondary
207Q00000X	Family Medicine	21350 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health Of Collins	Collins, MS	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic, Pa	5193706794	488

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. Mrs Angel Michelle Johnson allows following entities to bill medicare on her behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

Entity Name	Forrest County General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351

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. Mrs Angel Michelle 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
Mrs Angel Michelle Johnson, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 794-8065	Mrs Angel Michelle Johnson, MD 102 Shelby Speights Dr, Purvis, MS 39475-4151 Ph: (601) 794-8065

Reviews and Comments

Family Medicine Doctors in Purvis, MS

Christopher Ryan Rawls, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-579-5240
Michael R O'neal, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650
Stephen L Harless, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-794-6392
Robert Watson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5808 Us Highway 11, Purvis, MS 39475 Phone: 601-348-5460 Fax: 601-348-1432
John T Chmelicek, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650
Mr. Bruce Grissom Jr., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650

Mrs Angel Michelle Johnson, MD - Medicare Family Practice in Purvis, MS