Lori Johnson, in Fort Campbell, KY - Medicare Nurse Anesthetist, Certified Registered

Lori Johnson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Campbell, Kentucky. Her current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to her office (for appointments etc.) via phone at (210) 250-1995.

Lori Johnson is licensed to practice in Alabama (license number 00000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518211218.

Contact Information

	Lori Johnson,
	650 Joel Dr, Fort Campbell, KY 42223
	(210) 250-1995
	Not Available

Map and Direction

Provider's Profile

Full Name	Lori Johnson
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518211218
Provider Enumeration Date: 11/01/2012
Last Update Date: 06/21/2018

Medicare PECOS Information:

PECOS PAC ID: 5496105074
Enrollment ID: I20231221003873

Medical Identifiers

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

Identifier	Type	State	Issuer
1518211218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	00000 (Alabama)	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. Lori Johnson allows following entities to bill medicare on her behalf.

Entity Name	T J Samson Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477609865 PECOS PAC ID: 0648182600 Enrollment ID: O20040318001777

Entity Name	Purchase Anesthesia, Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215987953 PECOS PAC ID: 1951357847 Enrollment ID: O20050323001200

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. Lori 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
Lori Johnson, 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (210) 250-1995	Lori Johnson, 650 Joel Dr, Fort Campbell, KY 42223 Ph: (210) 250-1995

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Campbell, KY

Kristal Dianna Harps, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 301-520-5143
Richard C Ales, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8372 Fax: 270-956-0180
Mrs. Savannah Lynn Brookhart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 808-386-8536
Melissa Mckinney, DNP CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 210-286-1910
Teara Lynn Kist, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400
Ms. Sarah Ruth Bellenger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 808-554-7159

Lori Johnson, - Medicare Nurse Anesthetist, Certified Registered in Fort Campbell, KY