Earnest Johnson, is a
Driver based in Riverview, Florida. Earnest Johnson is licensed to practice in Florida (license number J525218734150) and his current practice location is
11925 Brighton Knoll Loop, Riverview, Florida. He can be reached at his office (for appointments etc.) via phone at
(813) 668-4420.
NPI number for Earnest Johnson is 1316725658 and his current mailing address is 11925 Brighton Knoll Loop, Riverview, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316725658.
Provider's Profile
| Full Name | Earnest Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Driver |
|---|
| Location | 11925 Brighton Knoll Loop, Riverview, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316725658
- Provider Enumeration Date: 09/18/2023
- Last Update Date: 09/18/2023
Medical Identifiers
Medical identifiers for Earnest Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316725658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN9406449 (Florida) | Secondary |
| 172A00000X | Driver | J525553845310 (Florida) | Secondary |
| 172A00000X | Driver | J525218734150 (Florida) | Primary |
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. Earnest Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Earnest Johnson,
11925 Brighton Knoll Loop,
Riverview, FL 33579-2201
Ph: (813) 668-4420 | Earnest Johnson,
11925 Brighton Knoll Loop,
Riverview, FL 33579-2201
Ph: (813) 668-4420 |
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