Jeffrey Paul Johnson, APN, FNP is a medicare enrolled "Nurse Practitioner - Family" provider in Lovington, New Mexico. His current practice location is
1600 N Main Ave, Lovington, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 396-6611.
Jeffrey Paul Johnson is licensed to practice in New Mexico (license number 61768) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255667440.
Healthcare Provider's Profile
| Full Name | Jeffrey Paul Johnson |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1600 N Main Ave, Lovington, New Mexico |
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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: 1255667440
- Provider Enumeration Date: 10/23/2009
- Last Update Date: 01/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890923247
- Enrollment ID: I20140110001501
Medical Identifiers
Medical identifiers for Jeffrey Paul Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255667440 | NPI | - | NPPES |
| 96657251 | Medicaid | CO | |
| 87703076 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3061 (Colorado) | Secondary |
| 163W00000X | Registered Nurse | 168340 (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | 10141 (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 61768 (New Mexico) | 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. Jeffrey Paul Johnson allows following entities to bill medicare on his behalf.
| Provider Name | Matthews-vu Medical Group, P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1649438433
PECOS PAC ID: 3072790864
Enrollment ID: O20110603000138 |
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| Provider Name | Signify Health Medical Associates Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190517001824 |
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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. Jeffrey Paul 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 |
|---|
Jeffrey Paul Johnson, APN, FNP
1600 N Main Ave,
Lovington, NM 88260-2813
Ph: (575) 396-6611 | Jeffrey Paul Johnson, APN, FNP
1600 N Main Ave,
Lovington, NM 88260-2813
Ph: (575) 396-6611 |
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