Jacqueline Johnson, in West Covina, CA - Medicare Nurse Practitioner

Jacqueline Johnson, is a medicare enrolled "Nurse Practitioner - Family" in West Covina, California. She went to Yale University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Duke University Affiliated Physicians Inc and her current practice location is 420 S. Glendora Ave, West Covina, California. You can reach out to her office (for appointments etc.) via phone at (616) 250-5247.

Jacqueline Johnson is licensed to practice in California (license number 95005643) 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 1063957009.

Contact Information

	Jacqueline Johnson,
	420 S. Glendora Ave, West Covina, CA 91790
	(616) 250-5247
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	420 S. Glendora Ave, West Covina, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Johnson attended and graduated from Yale University School Of Medicine in 2015

NPI Data:

NPI Number: 1063957009
Provider Enumeration Date: 12/29/2016
Last Update Date: 01/12/2017

Medicare PECOS Information:

PECOS PAC ID: 3971886185
Enrollment ID: I20210413000401

Medical Identifiers

Medical identifiers for Jacqueline Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063957009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95005643 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Duke University Affiliated Physicians Inc	3779489588	459

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. Jacqueline Johnson allows following entities to bill medicare on her behalf.

Entity Name	Duke University Affiliated Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642

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. Jacqueline 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 Address	Practice Location Address
Jacqueline Johnson, 420 S. Glendora Ave, West Covina, CA 91790 Ph: () -	Jacqueline Johnson, 420 S. Glendora Ave, West Covina, CA 91790 Ph: (616) 250-5247

Reviews and Comments

Nurse Practitioner Nurses in West Covina, CA

Mrs. Claire Marie Tabares, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-814-2547
Moses Ewo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 933 S Sunset Ave Ste 105, West Covina, CA 91790 Phone: 714-709-3154
Jettele Joy D Lara, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8393
Caroline Matibag Caspe, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Sunset Ave, West Covina, CA 91790 Phone: 626-960-6999 Fax: 626-960-5246
Ms. Shylee Bautista Tiamson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Barranca St # 900-j, West Covina, CA 91791 Phone: 310-292-0117
Mrs. Evangeline Baquiran Pelaez, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Barranca St Ste 900, West Covina, CA 91791 Phone: 626-206-0523 Fax: 626-206-0553

Jacqueline Johnson, - Medicare Nurse Practitioner in West Covina, CA