Dr Mario Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Memphis, Tennessee. He graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Midwest Anesthesia Providers Sc, Northstar Anesthesia Of Illinois, Llc, Southeast Missouri Hospital Physicians Llc, Sheridan Healthcorp Inc 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 Florida (license number APRN11043007) 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 | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 14 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 graduated from medical school in 2012
NPI Data:
- NPI Number: 1396261905
- Provider Enumeration Date: 08/15/2017
- Last Update Date: 11/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 1759647886
- Enrollment ID: I20220407000239
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 |
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| 207L00000X | Anesthesiology | 114648 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26516 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209016529 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11043007 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Midwest Anesthesia Providers Sc | 9830480581 | 189 |
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 409 |
| Southeast Missouri Hospital Physicians Llc | 9133024334 | 205 |
| Sheridan Healthcorp Inc | 3173429693 | 980 |
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 Name | Southeast Missouri Hospital Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558311522
PECOS PAC ID: 9133024334
Enrollment ID: O20031201000775 |
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| Entity Name | Midwest Anesthesia Providers Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295189082
PECOS PAC ID: 9830480581
Enrollment ID: O20160712001846 |
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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. 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 |
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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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