Olivia Johnson, MD is a medicare enrolled "Family Medicine" physician in Four Oaks, North Carolina. Her current practice location is
864 Black Creek Rd, Four Oaks, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 936-3148.
Olivia Johnson is licensed to practice in North Carolina (license number 202302334) 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 1801454244.
Physician's Profile
Full Name | Olivia Johnson |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 864 Black Creek Rd, Four Oaks, North Carolina |
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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: 1801454244
- Provider Enumeration Date: 05/31/2019
- Last Update Date: 06/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305172057
- Enrollment ID: I20231013001793
Medical Identifiers
Medical identifiers for Olivia Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801454244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 94-09933 (Kansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | 202302334 (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. Olivia Johnson allows following entities to bill medicare on her behalf.
Entity Name | Raleigh Durham Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194828145 PECOS PAC ID: 2365409588 Enrollment ID: O20041220000155 |
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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. Olivia 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 |
Olivia Johnson, MD 864 Black Creek Rd, Four Oaks, NC 27524-8314 Ph: (919) 936-3148 | Olivia Johnson, MD 864 Black Creek Rd, Four Oaks, NC 27524-8314 Ph: (919) 936-3148 |
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