Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Eastpointe, MI

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Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Eastpointe, Michigan. Her current practice location is 17200 E 10 Mile Rd, Eastpointe, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 731-2719.

Mrs Tiffany Shandrea Johnson is licensed to practice in Michigan (license number 4704282282) 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 1730572660.

Contact Information

Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC
17200 E 10 Mile Rd,
Eastpointe, MI 48021-3355
(313) 731-2719
(336) 654-0824

Map and Direction




Provider's Profile

Full NameMrs Tiffany Shandrea Johnson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location17200 E 10 Mile Rd, Eastpointe, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730572660
  • Provider Enumeration Date: 03/17/2015
  • Last Update Date: 09/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365763950
  • Enrollment ID: I20150720000074

Medical Identifiers

Medical identifiers for Mrs Tiffany Shandrea Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730572660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704282282 (Michigan)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704282282 (Michigan)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 Tiffany Shandrea Johnson allows following entities to bill medicare on her behalf.
Entity NameTeam Mental Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588855100
PECOS PAC ID: 2264451830
Enrollment ID: O20081030000384
Entity NameVps Of Mi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164873691
PECOS PAC ID: 1052603297
Enrollment ID: O20160708001747
Entity NameAllcare Housecalls Staffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134658446
PECOS PAC ID: 7618248311
Enrollment ID: O20170728002214
Entity NameBarlow Professional Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669906988
PECOS PAC ID: 9931538980
Enrollment ID: O20200326002843

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 Tiffany Shandrea 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 AddressPractice Location Address
Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC
11305 Pierson St,
Detroit, MI 48228-1247

Ph: (248) 798-7820		Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC
17200 E 10 Mile Rd,
Eastpointe, MI 48021-3355

Ph: (313) 731-2719

Reviews and Comments


Nurse Practitioner Nurses in Eastpointe, MI

Neha Russo,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 21300 Kelly Rd, Eastpointe, MI 48021
Phone: 586-447-4200    
Miss Navdeep Kaur Pabla, RN BSN MSN NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 24815 Ridgecroft Ave, Eastpointe, MI 48021
Phone: 586-420-0369    Fax: 586-420-0369
Katarzyna Noelle Brock, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19070 E 10 Mile Rd, Eastpointe, MI 48021
Phone: 586-445-0177    Fax: 585-773-1385
Mrs. Leann Nicole Munaco, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 21300 Kelly Rd, Eastpointe, MI 48021
Phone: 586-447-4200    Fax: 586-447-4208
Mrs. Andrea D Zinke, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 24901 Kelly Rd, Eastpointe, MI 48021
Phone: 586-772-9055    Fax: 586-772-0543
Barbara J. Dalziel,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 17200 E 10 Mile Rd, Eastpointe, MI 48021
Phone: 586-859-7455    Fax: 586-859-7454
April Provenzino, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19070 E 10 Mile Rd, Eastpointe, MI 48021
Phone: 586-445-0177    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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