Rory Michael Johnson, MD is a medicare enrolled "Family Medicine" physician in Sister Bay, Wisconsin. He went to University Of North Dakota School Of Medicine and graduated in 1998 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Door County Memorial Hospital and his current practice location is
2345 Canterbury Ln, Sister Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 868-3511.
Rory Michael Johnson is licensed to practice in Wisconsin (license number 41453) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669481057.
Physician's Profile
| Full Name | Rory Michael Johnson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 27 Years |
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| Location | 2345 Canterbury Ln, Sister Bay, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rory Michael Johnson attended and graduated from University Of North Dakota School Of Medicine in 1998
NPI Data:
- NPI Number: 1669481057
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 11/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587709860
- Enrollment ID: I20100311000387
Medical Identifiers
Medical identifiers for Rory Michael Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669481057 | NPI | - | NPPES |
| 33328200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 41453 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Door County Memorial Hospital | 5395735088 | 67 |
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. Rory Michael Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Door County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093743874
PECOS PAC ID: 5395735088
Enrollment ID: O20040514000588 |
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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. Rory Michael 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 |
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Rory Michael Johnson, MD
2345 Canterbury Ln,
Sister Bay, WI 54234-5602
Ph: (920) 868-3511 | Rory Michael Johnson, MD
2345 Canterbury Ln,
Sister Bay, WI 54234-5602
Ph: (920) 868-3511 |
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