Dr Mario Johnson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Memphis, TN

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Dr Mario Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Memphis, Tennessee. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Phillip R. Bowden, M.d.,p.a., Midwest Anesthesia Providers Sc and 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.

Contact Information

Dr Mario Johnson, CRNA
1417 Monroe Ave,
Memphis, TN 38104-3634
(901) 272-7200
(901) 272-0821

Map and Direction




Physician's Profile

Full NameDr Mario Johnson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location1417 Monroe Ave, Memphis, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mario Johnson graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1396261905
  • Provider Enumeration Date: 08/15/2017
  • Last Update Date: 01/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759647886
  • Enrollment ID: I20191113000484

Medical Identifiers

Medical identifiers for Dr Mario Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396261905NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 114648 (Tennessee)Secondary
367500000XNurse Anesthetist, Certified Registered 209016529 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 26516 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Barnes-jewish St Peters HospitalSaint peters, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Phillip R. Bowden, M.d.,p.a.731584711813
Midwest Anesthesia Providers Sc9830480581139

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. Dr Mario Johnson allows following entities to bill medicare on his behalf.
Entity NamePhillip R. Bowden, M.d.,p.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932216389
PECOS PAC ID: 7315847118
Enrollment ID: O20040109000254
Entity NameEast Memphis Anesthesia Services Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578592663
PECOS PAC ID: 1850386038
Enrollment ID: O20040416001400
Entity NameAmerican Anesthesiology Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609822998
PECOS PAC ID: 9931001922
Enrollment ID: O20040713001364

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 AddressPractice 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

Reviews and Comments



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.