Breanna Johnson, in Riverside, CA - Medicare Nurse Practitioner

Breanna Johnson, is a medicare enrolled "Nurse Practitioner" in Riverside, California. Her current practice location is 4445 Magnolia Ave, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 788-3000.

Breanna Johnson is licensed to practice in California (license number 95016797) 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 1760077093.

Contact Information

	Breanna Johnson,
	4445 Magnolia Ave, Riverside, CA 92501-4135
	(951) 788-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Breanna Johnson
Gender	Female
Speciality	Nurse Practitioner
Location	4445 Magnolia Ave, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760077093
Provider Enumeration Date: 03/08/2021
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 6305213679
Enrollment ID: I20221031001836

Medical Identifiers

Medical identifiers for Breanna Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760077093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95016797 (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. Breanna Johnson allows following entities to bill medicare on her behalf.

Entity Name	Century Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346499324 PECOS PAC ID: 3971665605 Enrollment ID: O20090203000530

Entity Name	Cogent Healthcare Of Arizona Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568758266 PECOS PAC ID: 0648441006 Enrollment ID: O20110915000843

Entity Name	Summit Medical Group Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053810622 PECOS PAC ID: 3173872835 Enrollment ID: O20180814003015

Entity Name	Atlas Medical Aco Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396573705 PECOS PAC ID: 1456885227 Enrollment ID: O20250416003928

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. Breanna 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
Breanna Johnson, 4222 E Brown Rd Unit 13, Mesa, AZ 85205-4056 Ph: (909) 731-1429	Breanna Johnson, 4445 Magnolia Ave, Riverside, CA 92501-4135 Ph: (951) 788-3000

Reviews and Comments

Nurse Practitioner Nurses in Riverside, CA

Alice Chinyere Echeta, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4960 Arlington Ave Ste B, Riverside, CA 92504 Phone: 951-341-8930
Obianuju Rivera, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3801 University Ave Ste 270, Riverside, CA 92501 Phone: 855-427-2778 Fax: 951-530-3997
Luamy Gabriela Cornejo, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 Brockton Ave Ste 100, Riverside, CA 92501 Phone: 951-684-1293
Christine Pham Duong, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5549 Van Buren Blvd, Riverside, CA 92503 Phone: 951-324-5901 Fax: 877-778-9472
Namrata Nicole Sihotang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19330 Jesse Ln Ste 100, Riverside, CA 92508 Phone: 844-827-8000
Helen Landayan Lo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7140 Indiana Avenue, Riverside, CA 92503 Phone: 951-358-6037
Rebecca J Seawell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000

Breanna Johnson, - Medicare Nurse Practitioner in Riverside, CA