Shannon J Johnson, MD in Kent, WA - Medicare Family Medicine

Shannon J Johnson, MD is a medicare enrolled "Family Medicine" physician in Kent, Washington. Her current practice location is 26004 104th Ave Se Ste 101, Kent, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 251-4040.

Shannon J Johnson is licensed to practice in Washington (license number MD00040284) 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 1922152644.

Contact Information

	Shannon J Johnson, MD
	26004 104th Ave Se Ste 101, Kent, WA 98030-7677
	(425) 251-4040
	Not Available

Map and Direction

Physician's Profile

Full Name	Shannon J Johnson
Gender	Female
Speciality	Family Medicine
Location	26004 104th Ave Se Ste 101, Kent, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922152644
Provider Enumeration Date: 01/22/2007
Last Update Date: 04/21/2021

Medicare PECOS Information:

PECOS PAC ID: 1052457413
Enrollment ID: I20091015000399

Medical Identifiers

Medical identifiers for Shannon J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922152644	NPI	-	NPPES
8341679	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD00040284 (Washington)	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. Shannon J Johnson allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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. Shannon J 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
Shannon J Johnson, MD 26004 104th Ave Se Ste 101, Kent, WA 98030-7677 Ph: (425) 251-4040	Shannon J Johnson, MD 26004 104th Ave Se Ste 101, Kent, WA 98030-7677 Ph: (425) 251-4040

Reviews and Comments

Family Medicine Doctors in Kent, WA

Daniela Jordanova Sorokovska, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 222 State Ave N, Kent, WA 98030 Phone: 253-372-7866
Von Chang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 State Ave N, Kent, WA 98030 Phone: 253-372-7866
Dr. Sheri Lynn Peterson-buckley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 253-395-2000 Fax: 253-395-1956
Thomas Michael Mccown Jr., DO Family Medicine Medicare: Medicare Enrolled Practice Location: 26004 104th Ave Se, Kent, WA 98030 Phone: 800-422-2844 Fax: 877-514-9952
Phuc T Phung, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 253-395-2000 Fax: 253-395-1946
Matthew Julian Duenas, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-690-3420 Fax: 425-690-9420
Dr. Jinny Kim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E Meeker St Ste 200, Kent, WA 98030 Phone: 253-852-2866

Shannon J Johnson, MD - Medicare Family Medicine in Kent, WA