Stacey Johnson, MD is a medicare enrolled "Family Medicine" physician in Cornettsville, Kentucky. Her current practice location is
464 Ky Highway 699, Cornettsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 476-2593.
Stacey Johnson is licensed to practice in Kentucky (license number 38781) 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 1851328900.
Physician's Profile
Full Name | Stacey Johnson |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 464 Ky Highway 699, Cornettsville, Kentucky |
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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: 1851328900
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3375440142
- Enrollment ID: I20031218000603
Medical Identifiers
Medical identifiers for Stacey Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851328900 | NPI | - | NPPES |
64881600 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 38781 (Kentucky) | 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. Stacey Johnson allows following entities to bill medicare on her behalf.
Entity Name | Kentucky Medical Services Foundation, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326091448 PECOS PAC ID: 5698689909 Enrollment ID: O20031119000300 |
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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. Stacey 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 |
Stacey Johnson, MD Po Box 40, Whitesburg, KY 41858 Ph: (606) 633-4823 | Stacey Johnson, MD 464 Ky Highway 699, Cornettsville, KY 41731 Ph: (606) 476-2593 |
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