Telisha Johnson, APRN - Medicare Nurse Practitioner in Upper Marlboro, MD

Telisha Johnson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Upper Marlboro, Maryland. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Luminis Health Medical Group, Llc and her current practice location is 7600 Se Crain Hwy, Upper Marlboro, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 627-6603.

Telisha Johnson is licensed to practice in Maryland (license number AC002448) 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 1770066086.

Contact Information

Telisha Johnson, APRN
7600 Se Crain Hwy,
Upper Marlboro, MD 20772-4232
(301) 627-6603
Not Available

Map and Direction




Provider's Profile

Full NameTelisha Johnson
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location7600 Se Crain Hwy, Upper Marlboro, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Telisha Johnson graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1770066086
  • Provider Enumeration Date: 09/12/2018
  • Last Update Date: 07/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5496009524
  • Enrollment ID: I20181109000859

Medical Identifiers

Medical identifiers for Telisha Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770066086NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AC002448 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Anne Arundel Medical CenterAnnapolis, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Luminis Health Medical Group, Llc2860447315431

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. Telisha Johnson allows following entities to bill medicare on her behalf.
Entity NameLuminis Health Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073580205
PECOS PAC ID: 2860447315
Enrollment ID: O20050317000146

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. Telisha 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
Telisha Johnson, APRN
2001 Butterfield Rd, Ste 300,
Downers Grove, IL 60515-1069

Ph: (630) 725-2730
Telisha Johnson, APRN
7600 Se Crain Hwy,
Upper Marlboro, MD 20772-4232

Ph: (301) 627-6603

Reviews and Comments


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Aileen Marie Raulin, RN CPNP
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Practice Location: 9692 Pennsylvania Ave, Upper Marlboro, MD 20772
Phone: 301-599-7300    Fax: 301-599-0476

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.