Bridgette Lee Johnson, is a
Registered Nurse based in Creal S Prings, Illinois. Bridgette Lee Johnson is licensed to practice in Illinois (license number 041348858) and her current practice location is
13143 Egypt Shores Rd, Creal S Prings, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 923-0499.
NPI number for Bridgette Lee Johnson is 1912695016 and her current mailing address is 13143 Egypt Shores Rd, Creal S Prings, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912695016.
Provider's Profile
| Full Name | Bridgette Lee Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 13143 Egypt Shores Rd, Creal S Prings, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912695016
- Provider Enumeration Date: 04/26/2023
- Last Update Date: 04/26/2023
Medical Identifiers
Medical identifiers for Bridgette Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912695016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 041348858 (Illinois) | 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. Bridgette Lee Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Bridgette Lee Johnson, 13143 Egypt Shores Rd, Creal S Prings, IL 62959 Ph: (618) 923-0499 | Bridgette Lee Johnson, 13143 Egypt Shores Rd, Creal S Prings, IL 62959 Ph: (618) 923-0499 |
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