William P Johnson Jr, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in St Simons Island, Georgia. His current practice location is
108 Island Professional Park, St Simons Island, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 268-4372.
William P Johnson Jr is licensed to practice in Georgia (license number 064997) 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 1295756757.
Physician's Profile
Full Name | William P Johnson Jr |
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Gender | Male |
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Speciality | Emergency Medicine - Emergency Medical Services |
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Location | 108 Island Professional Park, St Simons Island, Georgia |
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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: 1295756757
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 05/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042219768
- Enrollment ID: I20101022000096
Medical Identifiers
Medical identifiers for William P Johnson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295756757 | NPI | - | NPPES |
R0961 | Other | KY | LICENSE |
01063853A | Other | IN | INDIANA STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 32549 (South Carolina) | Secondary |
207P00000X | Emergency Medicine | R0961 (Kentucky) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 064997 (Georgia) | 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. William P Johnson Jr allows following entities to bill medicare on his behalf.
Entity Name | Georgia Emergency Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528098290 PECOS PAC ID: 1052216389 Enrollment ID: O20031201000427 |
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Entity Name | Emergency Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477001972 PECOS PAC ID: 7911811435 Enrollment ID: O20161012000482 |
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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. William P Johnson Jr 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 |
William P Johnson Jr, MD 108 Island Professional Park, St Simons Island, GA 31522-2880 Ph: (912) 268-4372 | William P Johnson Jr, MD 108 Island Professional Park, St Simons Island, GA 31522-2880 Ph: (912) 268-4372 |
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