DR. MARION C JOHNSON M.D.
Accepted Insurance for NPI 1881663003
Surgery in Kirkland, WA

Q: What managed care network types are accepted by this provider?

DR. MARION C JOHNSON M.D. is enrolled across the following managed care network types: EPO, PPO. PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.

Quality Rating: 74.56 out of 100 score

NPI Status: Active since March 17, 2006

Contact Information

12333 NE 130TH LN
SUITE 420
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-5500
Fax: (425) 899-5529

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. MARION C JOHNSON M.D., a practicing surgery professional in Kirkland, WA. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 31 individual coverage options managed by medical networks, including networks like PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, and Providence Health Plan. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

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PacificSource Health Plans

Core Bronze HSA 10600

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380002

Core Bronze HSA 7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770002

Core Bronze HSA 8300

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

10091OR077000123603MT0380001

Core Gold 1500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR078000123603MT0380008

Core Gold 3000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0780002

Core Silver 3500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380004

Core Silver 4500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770004

Core Silver 5000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380005

Core Silver 7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770005

Core Standard Expanded Bronze HSA

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380003

Core Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380009

Core Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380006

PacificSource Oregon Standard Bronze HSA Plan Core

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770003

PacificSource Oregon Standard Gold Plan Core

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770007

PacificSource Oregon Standard Silver Plan Core

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770006

Premera Blue Cross Blue Shield of Alaska

Premera Blue Cross Alaska One Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1080001

Premera Blue Cross Preferred Bronze 5800 HSA

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1070002

Premera Blue Cross Preferred Bronze 6350

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060004

Premera Blue Cross Preferred Gold 1500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060001

Premera Blue Cross Preferred Silver 4500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060002

Premera Blue Cross Standard Bronze II

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100004

Premera Blue Cross Standard Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100001

Premera Blue Cross Standard Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100002

Premera Blue Cross Family Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DENTALSELECT Tier

Accepted Plan ID Variations

38344AK1110001

Premera Blue Cross Pediatric Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DENTALSELECT Tier

Accepted Plan ID Variations

38344AK1120001

Providence Health Plan

HSA-E Qualified 7500 Bronze - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1430003

Providence Oregon Standard Bronze Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1410003

Providence Oregon Standard Gold Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1350004

Providence Oregon Standard Silver Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1360004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does DR. MARION C JOHNSON M.D. accept?

This provider accepts health insurance plans managed by the following insurance companies: PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

DR. MARION C JOHNSON M.D. is enrolled across the following managed care network types: EPO, PPO.

PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.