Kenneth Clark Johnson, PT in Indianapolis, IN - Medicare Physical Therapist Provider

Kenneth Clark Johnson, PT is a medicare enrolled "Physical Therapist" provider in Indianapolis, Indiana. His current practice location is 7855 S Emerson Ave, Suite W, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 581-1890.

Kenneth Clark Johnson is licensed to practice in Indiana (license number 05005624A) 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 1952332322.

Contact Information

	Kenneth Clark Johnson, PT
	7855 S Emerson Ave, Suite W, Indianapolis, IN 46237-8668
	(317) 581-1890
	(317) 581-2436

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Clark Johnson
Gender	Male
Speciality	Physical Therapist
Location	7855 S Emerson Ave, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952332322
Provider Enumeration Date: 07/05/2006
Last Update Date: 10/28/2014

Medicare PECOS Information:

PECOS PAC ID: 1658376538
Enrollment ID: I20060927000502

Medical Identifiers

Medical identifiers for Kenneth Clark Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952332322	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05005624A (Indiana)	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. Kenneth Clark Johnson allows following entities to bill medicare on his behalf.

Provider Name	Body One Health And Fitness Center Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1528092442 PECOS PAC ID: 5395715007 Enrollment ID: O20040802000199

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. Kenneth Clark 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
Kenneth Clark Johnson, PT 8902 N Meridian St, Ste 215, Indianapolis, IN 46260-5382 Ph: (317) 581-1890	Kenneth Clark Johnson, PT 7855 S Emerson Ave, Suite W, Indianapolis, IN 46237-8668 Ph: (317) 581-1890

Reviews and Comments

Physical Therapist in Indianapolis, IN

Kristene Marie Corbin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5936 N Keystone Ave, Indianapolis, IN 46220 Phone: 317-257-8340
Steven Saied, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9480 Priority Way West Dr, Indianapolis, IN 46240 Phone: 317-818-0570
Marycharlotte Turner Bales, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 426 S Alabama St Ste 200, Indianapolis, IN 46225 Phone: 317-528-6804 Fax: 317-528-3781
Lisa Smiley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4340 W 96th St Ste 105a, Indianapolis, IN 46268 Phone: 317-660-1999 Fax: 317-660-1870
Alyssa Bettag, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7701 E 21st St, Indianapolis, IN 46219 Phone: 317-329-1000
Kristin Leigh Roth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5515 W 38th St, Indianapolis, IN 46254 Phone: 317-880-0282 Fax: 317-880-0296
Lisa M Oldham, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Senate Blvd, Suite Ag045, Indianapolis, IN 46202 Phone: 317-962-4836 Fax: 317-962-4812

Kenneth Clark Johnson, PT - Medicare Physical Therapist in Indianapolis, IN