Courtny Johnson, - Medicare Podiatrist in Providence, RI

Courtny Johnson, is a medicare enrolled "Podiatrist" provider in Providence, Rhode Island. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 825 Chalkstone Ave, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 456-2000.

Courtny Johnson is licensed to practice in Rhode Island (license number LPR00142) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093123069.

Contact Information

Courtny Johnson,
825 Chalkstone Ave,
Providence, RI 02908-4728
(401) 456-2000
Not Available



Healthcare Provider's Profile

Full NameCourtny Johnson
GenderFemale
SpecialityPodiatry
Experience10 Years
Location825 Chalkstone Ave, Providence, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Courtny Johnson graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1093123069
  • Provider Enumeration Date: 07/23/2014
  • Last Update Date: 12/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517230584
  • Enrollment ID: I20170913003369

Medical Identifiers

Medical identifiers for Courtny Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093123069NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist LPR00142 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102257800

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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. Courtny Johnson allows following entities to bill medicare on her behalf.
Provider NamePermanente Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Courtny 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
Courtny Johnson,
825 Chalkstone Ave,
Providence, RI 02908-4728

Ph: (401) 456-2000
Courtny Johnson,
825 Chalkstone Ave,
Providence, RI 02908-4728

Ph: (401) 456-2000

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Podiatrist in Providence, RI

Dr. Anthony Joseph Popoff, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 814-520-4835    
Dr. Joseph A Decesare, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 201 Broadway, Providence, RI 02903
Phone: 401-421-9167    Fax: 401-421-9193
Peter J Sardella, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 235 Plain Street, Suite 201, Providence, RI 02905
Phone: 401-861-8830    Fax: 401-351-2378
Rih Center For Wound Care
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy Street, Providence, RI 02914
Phone: 401-606-4325    Fax: 401-444-6483
Kirsti Anna Diehl, D.P.M.
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 830 Chalkstone Ave, Providence Vamc, Department Of Surgery, Providence, RI 02908
Phone: 401-273-7100    
Nicole Ashley Curreri, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 401-456-2388    

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