Stan Michael Johnson, MD in Pikeville, KY

Stan Michael Johnson, MD is a medicare enrolled "Pediatrics" physician in Pikeville, Kentucky. His current practice location is 238 Cassidy Blvd, Pikeville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 430-2230.

Stan Michael Johnson is licensed to practice in Kentucky (license number 39306) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184610461.

Contact Information

	Stan Michael Johnson, MD
	238 Cassidy Blvd, Pikeville, KY 41501-1426
	(606) 430-2230
	(606) 437-2526

Map and Direction

Physician's Profile

Full Name	Stan Michael Johnson
Gender	Male
Speciality	Pediatrics
Location	238 Cassidy Blvd, Pikeville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184610461
Provider Enumeration Date: 09/22/2005
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1153545561
Enrollment ID: I20140604001958

Medical Identifiers

Medical identifiers for Stan Michael Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184610461	NPI	-	NPPES
64099344	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	39306 (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. Stan Michael Johnson allows following entities to bill medicare on his behalf.

Entity Name	Spero Health Of Kentucky, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982102109 PECOS PAC ID: 1052792041 Enrollment ID: O20220721003823

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. Stan 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
Stan Michael Johnson, MD Po Box 432, Pikeville, KY 41502-0432 Ph: (606) 430-3500	Stan Michael Johnson, MD 238 Cassidy Blvd, Pikeville, KY 41501-1426 Ph: (606) 430-2230

Reviews and Comments

Pediatrics Doctors in Pikeville, KY

M Zuhdi Alimam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 156 Island Creek Rd, Pediatric Associates, Pikeville, KY 41501 Phone: 606-432-3221 Fax: 606-437-0438
Alexander M Saurer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Adams Ln Ste 300, Pikeville, KY 41501 Phone: 606-230-2255 Fax: 606-437-3001
Shylah Napier, Pediatrics Medicare: Medicare Enrolled Practice Location: 238 Cassidy Blvd, Pikeville, KY 41501 Phone: 606-430-3500
Zonia G Barbosa Caceres, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-218-4697
Jyothi Mettu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 387 Town Mountain Rd, Ste 108, Pikeville, KY 41501 Phone: 606-437-4925 Fax: 606-437-4930
Dr. Matthew Todd Hambleton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500

Stan Michael Johnson, MD - Medicare Pediatrics in Pikeville, KY