Michael Ryan Johnson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Madisonville, Kentucky. He went to Kent State University College Of Podiatric Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Advantage Health/saint Mary's Medical Group and his current practice location is
200 Clinic Dr, Madisonville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 825-7258.
Michael Ryan Johnson is licensed to practice in Kentucky (license number 00460) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730422791.
Healthcare Provider's Profile
| Full Name | Michael Ryan Johnson |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 12 Years |
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| Location | 200 Clinic Dr, Madisonville, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Ryan Johnson attended and graduated from Kent State University College Of Podiatric Medicine in 2013
NPI Data:
- NPI Number: 1730422791
- Provider Enumeration Date: 03/28/2013
- Last Update Date: 12/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779893839
- Enrollment ID: I20220912000772
Medical Identifiers
Medical identifiers for Michael Ryan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730422791 | NPI | - | NPPES |
| K212370 | Other | KY | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00460 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advantage Health/saint Mary's Medical Group | 4082807961 | 386 |
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. Michael Ryan Johnson allows following entities to bill medicare on his behalf.
| Provider Name | Advantage Health/saint Mary's Medical Group |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376862151
PECOS PAC ID: 4082807961
Enrollment ID: O20101023000279 |
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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. Michael Ryan 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 |
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Michael Ryan Johnson, DPM
200 Clinic Dr,
Madisonville, KY 42431-1661
Ph: (270) 825-7258 | Michael Ryan Johnson, DPM
200 Clinic Dr,
Madisonville, KY 42431-1661
Ph: (270) 825-7258 |
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