Dr Mario Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Memphis, Tennessee. His current practice location is
1417 Monroe Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 272-7200.
Dr Mario Johnson is licensed to practice in Tennessee (license number 26516) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396261905.
Physician's Profile
| Full Name | Dr Mario Johnson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1417 Monroe Ave, Memphis, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mario Johnson attended and graduated from in
NPI Data:
- NPI Number: 1396261905
- Provider Enumeration Date: 08/15/2017
- Last Update Date: 01/27/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Mario Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396261905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 114648 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209016529 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26516 (Tennessee) | Primary |
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. Dr Mario 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 |
|---|
Dr Mario Johnson, CRNA
3121 Steeplegate Dr,
Germantown, TN 38138-7745
Ph: () - | Dr Mario Johnson, CRNA
1417 Monroe Ave,
Memphis, TN 38104-3634
Ph: (901) 272-7200 |
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