Kyle D Johnson, MD - Medicare Otolaryngology in West Fargo, ND

Kyle D Johnson, MD is a medicare enrolled "Otolaryngology" physician in West Fargo, North Dakota. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Sanford Medical Center Fargo and his current practice location is 350 23rd Avenue E, West Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 235-1924.

Kyle D Johnson is licensed to practice in North Dakota (license number 14194) 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 1588959472.

Contact Information

Kyle D Johnson, MD
350 23rd Avenue E,
West Fargo, ND 58078-7401
(701) 235-1924
(701) 235-6304



Physician's Profile

Full NameKyle D Johnson
GenderMale
SpecialityOtolaryngology
Experience13 Years
Location350 23rd Avenue E, West Fargo, North Dakota
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:
  • Kyle D Johnson graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1588959472
  • Provider Enumeration Date: 06/18/2011
  • Last Update Date: 12/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557681277
  • Enrollment ID: I20160923000555

Medical Identifiers

Medical identifiers for Kyle D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588959472NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 14194 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Medical Center FargoFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Medical Center Fargo84269678031094

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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. Kyle D Johnson allows following entities to bill medicare on his behalf.
Entity NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241351
PECOS PAC ID: 4284546151
Enrollment ID: O20031112000221

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Entity NameSanford Bismarck
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1598185597
PECOS PAC ID: 9739098575
Enrollment ID: O20040304000249

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Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495

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Entity NameKyle Johnson Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306627807
PECOS PAC ID: 3173976081
Enrollment ID: O20240126003230

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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. Kyle D 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
Kyle D Johnson, MD
350 23rd Avenue E,
West Fargo, ND 58078-7401

Ph: (701) 235-1924
Kyle D Johnson, MD
350 23rd Avenue E,
West Fargo, ND 58078-7401

Ph: (701) 235-1924

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Otolaryngology Doctors in West Fargo, ND

Dr. Lesley A Soine, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 350 23rd Ave E Ste 102, West Fargo, ND 58078
Phone: 701-235-1924    Fax: 701-235-6304

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