Mrs Luanne Dee Johnson, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Augusta, Illinois. Her current practice location is
204 Center St, Augusta, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 392-2108.
Mrs Luanne Dee Johnson is licensed to practice in Iowa (license number A060889) 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 1922096601.
Provider's Profile
| Full Name | Mrs Luanne Dee Johnson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 204 Center St, Augusta, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922096601
- Provider Enumeration Date: 10/07/2005
- Last Update Date: 01/13/2015
Medicare PECOS Information:
- PECOS PAC ID: 1052302106
- Enrollment ID: I20040519000431
Medical Identifiers
Medical identifiers for Mrs Luanne Dee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922096601 | NPI | - | NPPES |
| 209008589 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | A060889 (Iowa) | 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. Mrs Luanne Dee Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Optimae Lifeservices Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184898470
PECOS PAC ID: 8022912211
Enrollment ID: O20031120000270 |
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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. Mrs Luanne Dee 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 |
|---|
Mrs Luanne Dee Johnson, NURSE PRACTITIONER
Po Box 160,
Carthage, IL 62321-0160
Ph: (217) 357-2173 | Mrs Luanne Dee Johnson, NURSE PRACTITIONER
204 Center St,
Augusta, IL 62311-1228
Ph: (217) 392-2108 |
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