Mallory Harris Johnson, CRNA in Brunswick, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Mallory Harris Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Brunswick, Georgia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northlake Anesthesia Professionals,llc and her current practice location is 3100 Kemble Ave, Brunswick, Georgia. You can reach out to her office (for appointments etc.) via phone at (334) 279-1450.

Mallory Harris Johnson is licensed to practice in Georgia (license number RN239579) 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 1801353081.

Contact Information

	Mallory Harris Johnson, CRNA
	3100 Kemble Ave, Brunswick, GA 31520-4211
	(334) 279-1450
	(334) 279-1660

Map and Direction

Provider's Profile

Full Name	Mallory Harris Johnson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	3100 Kemble Ave, Brunswick, Georgia
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:

Mallory Harris Johnson graduated from nursing school in 2018

NPI Data:

NPI Number: 1801353081
Provider Enumeration Date: 02/25/2019
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 4385985506
Enrollment ID: I20190417000362

Medical Identifiers

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

Identifier	Type	State	Issuer
1801353081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN239579 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northlake Anesthesia Professionals,llc	2769471796	2

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. Mallory Harris Johnson allows following entities to bill medicare on her behalf.

Entity Name	Alta Anesthesia Associates Of Georgia, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275504771 PECOS PAC ID: 8729992987 Enrollment ID: O20031113000222

Entity Name	North Fulton Anesthesia Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467445262 PECOS PAC ID: 7113914466 Enrollment ID: O20040428000839

Entity Name	Northlake Anesthesia Professionals,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982637419 PECOS PAC ID: 2769471796 Enrollment ID: O20040506001031

Entity Name	Alpharetta Surgery Center Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1568840528 PECOS PAC ID: 1153620869 Enrollment ID: O20160502001999

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. Mallory Harris 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
Mallory Harris Johnson, CRNA Po Box 116111, Atlanta, GA 30368-6111 Ph: (334) 279-1450	Mallory Harris Johnson, CRNA 3100 Kemble Ave, Brunswick, GA 31520-4211 Ph: (334) 279-1450

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Brunswick, GA

Shannon Lynne Monteleone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7000
Maxwell Donnan, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Fountain Park Cir Ste 4, Brunswick, GA 31520 Phone: 912-617-4553 Fax: 912-264-5003
John D Porzio V, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 800-232-5703 Fax: 334-395-4110
Sandra E Deschaine, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 800-232-5703
Adam Wesley Harper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 334-279-1450
Heather Cone Mitchell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 912-466-7000
Steven Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 912-466-7000

Mallory Harris Johnson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Brunswick, GA