Alyssa Virginia Johnston, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Roseville, California. Her current practice location is
1814 Cirby Way Apt B, Roseville, California. You can reach out to her office (for appointments etc.) via phone at
(770) 876-9602.
Alyssa Virginia Johnston is licensed to practice in California (license number 95013336) 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 1891281432.
Physician's Profile
| Full Name | Alyssa Virginia Johnston |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1814 Cirby Way Apt B, Roseville, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891281432
- Provider Enumeration Date: 07/06/2018
- Last Update Date: 04/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709213069
- Enrollment ID: I20200625000751
Medical Identifiers
Medical identifiers for Alyssa Virginia Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891281432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207QA0505X | Family Medicine - Adult Medicine | 95013336 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95013336 (California) | 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. Alyssa Virginia Johnston allows following entities to bill medicare on her behalf.
| Entity Name | Blossom Ridge Medical Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679117972 PECOS PAC ID: 2466881883 Enrollment ID: O20200407001296 |
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| Entity Name | American River Nursing Services Apc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891480695 PECOS PAC ID: 5991150187 Enrollment ID: O20231007000601 |
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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. Alyssa Virginia Johnston 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 |
Alyssa Virginia Johnston, NP 1814 Cirby Way Apt B, Roseville, CA 95661-5564 Ph: (770) 876-9602 | Alyssa Virginia Johnston, NP 1814 Cirby Way Apt B, Roseville, CA 95661-5564 Ph: (770) 876-9602 |
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