Antoinette Marie Johnson, CNP - Medicare Nurse Practitioner in Bellbrook, OH

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Antoinette Marie Johnson, CNP is a medicare enrolled "Nurse Practitioner - Family" in Bellbrook, Ohio. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Group, Samaritan Family Care Inc and her current practice location is 4403 W Franklin St Ste D, Bellbrook, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 848-9010.

Antoinette Marie Johnson is licensed to practice in Ohio (license number APRN.CNP.0028361) 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 1760153357.

Contact Information

Antoinette Marie Johnson, CNP
4403 W Franklin St Ste D,
Bellbrook, OH 45305-2700
(937) 848-9010
Not Available

Map and Direction




Provider's Profile

Full NameAntoinette Marie Johnson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location4403 W Franklin St Ste D, Bellbrook, Ohio
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:
  • Antoinette Marie Johnson graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1760153357
  • Provider Enumeration Date: 09/23/2021
  • Last Update Date: 11/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567850779
  • Enrollment ID: I20211020002034

Medical Identifiers

Medical identifiers for Antoinette Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760153357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.0028361 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Group286038634932
Samaritan Family Care Inc509260837254

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. Antoinette Marie Johnson allows following entities to bill medicare on her behalf.
Entity NameSamaritan Family Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659503886
PECOS PAC ID: 5092608372
Enrollment ID: O20040203000210
Entity NameProvidence Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972533149
PECOS PAC ID: 2860386349
Enrollment ID: O20040215000006
Entity NameMetro Golden Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649329368
PECOS PAC ID: 7911917737
Enrollment ID: O20060424000681

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. Antoinette Marie 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
Antoinette Marie Johnson, CNP
2912 Springboro W Ste 201,
Moraine, OH 45439-1674

Ph: (937) 297-8999		Antoinette Marie Johnson, CNP
4403 W Franklin St Ste D,
Bellbrook, OH 45305-2700

Ph: (937) 848-9010

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.