Dr Kyle J Johnson, DO - Medicare Internal Medicine in East Providence, RI

Dr Kyle J Johnson, DO is a medicare enrolled "Internal Medicine" physician in East Providence, Rhode Island. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Coastal Medical Physicians Inc and his current practice location is 900 Warren Ave Ste 401, East Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 330-2480.

Dr Kyle J Johnson is licensed to practice in Rhode Island (license number DO01222) 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 1972846293.

Contact Information

Dr Kyle J Johnson, DO
900 Warren Ave Ste 401,
East Providence, RI 02914-1430
(401) 330-2480
(401) 808-6329



Physician's Profile

Full NameDr Kyle J Johnson
GenderMale
SpecialityInternal Medicine
Experience11 Years
Location900 Warren Ave Ste 401, East Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kyle J Johnson graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1972846293
  • Provider Enumeration Date: 04/04/2013
  • Last Update Date: 04/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5890083695
  • Enrollment ID: I20230216002791

Medical Identifiers

Medical identifiers for Dr Kyle J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972846293NPI-NPPES
DO01222OtherRILICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine DO01222 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital
South Shore HospitalSouth weymouth, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coastal Medical Physicians Inc0345658316135

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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. Dr Kyle J Johnson allows following entities to bill medicare on his behalf.
Entity NameCoastal Medical Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780273540
PECOS PAC ID: 0345658316
Enrollment ID: O20210427001413

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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. Dr Kyle J 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 AddressPractice Location Address
Dr Kyle J Johnson, DO
900 Warren Ave Ste 401,
East Providence, RI 02914-1430

Ph: (401) 330-2480
Dr Kyle J Johnson, DO
900 Warren Ave Ste 401,
East Providence, RI 02914-1430

Ph: (401) 330-2480

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Internal Medicine Doctors in East Providence, RI

Matthew J Franco, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 Warren Ave, Suite 401, East Providence, RI 02914
Phone: 800-508-4908    Fax: 401-228-6236
Mr. Michael F Gilson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 950 Warren Ave, 2nd Floor, East Providence, RI 02914
Phone: 401-606-1004    Fax: 401-606-1153
Dr. Christopher Song, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 950 Warren Ave, East Providence, RI 02914
Phone: 401-606-1004    Fax: 401-606-1153
Dr. Ricardo Rafael Correa Marquez, M.D
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 900 Warren Avenue, Suite 300, East Providence, RI 02914
Phone: 786-246-5719    
May Min, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 950 Warren Ave Ste 301, East Providence, RI 02914
Phone: 401-606-4260    
Prerna Ganjoo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 318 Waterman Ave, East Providence, RI 02914
Phone: 401-438-5950    Fax: 401-435-6700
Mordecai Jeremiah Stolk, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 318 Waterman Ave, East Providence, RI 02914
Phone: 401-438-5950    Fax: 401-435-6700

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