Kord Johnson, in Mesa, AZ - Medicare Nurse Anesthetist, Certified Registered

Kord Johnson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mesa, Arizona. His current practice location is 10116 E Tarragon Ave, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 313-8783.

Kord Johnson is licensed to practice in Washington (license number 135172) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306427380.

Contact Information

	Kord Johnson,
	10116 E Tarragon Ave, Mesa, AZ 85212-8416
	(480) 313-8783
	Not Available

Map and Direction

Provider's Profile

Full Name	Kord Johnson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	10116 E Tarragon Ave, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306427380
Provider Enumeration Date: 04/20/2021
Last Update Date: 06/05/2021

Medicare PECOS Information:

PECOS PAC ID: 0345645180
Enrollment ID: I20210817003724

Medical Identifiers

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

Identifier	Type	State	Issuer
1306427380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	60455959 (Washington)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	135172 (Washington)	Primary

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. Kord Johnson allows following entities to bill medicare on his behalf.

Entity Name	Providence Wa Anesthesia Services, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669615894 PECOS PAC ID: 9335298884 Enrollment ID: O20090513000135

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. Kord 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
Kord Johnson, 10116 E Tarragon Ave, Mesa, AZ 85212-8416 Ph: () -	Kord Johnson, 10116 E Tarragon Ave, Mesa, AZ 85212-8416 Ph: (480) 313-8783

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Mesa, AZ

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Jennifer Michelle Hayden, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1155 S Power Rd Ste, Mesa, AZ 85206 Phone: 623-271-2254
Craig Ryan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 S Crismon Rd, Mesa, AZ 85209 Phone: 480-358-6100
Stuart Russell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2330 E Jasmine St, Mesa, AZ 85213 Phone: 480-980-7302

Kord Johnson, - Medicare Nurse Anesthetist, Certified Registered in Mesa, AZ