Caspertine Johnson, - Medicare Nurse Practitioner in Live Oak, FL

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Caspertine Johnson, is a medicare enrolled "Nurse Practitioner - Family" in Live Oak, Florida. Her current practice location is 1101 Ohio Ave S, Live Oak, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 339-1060.

Caspertine Johnson is licensed to practice in Georgia (license number RN302027) 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 1306502083.

Contact Information

Caspertine Johnson,
1101 Ohio Ave S,
Live Oak, FL 32064-4146
(386) 339-1060
Not Available

Map and Direction




Provider's Profile

Full NameCaspertine Johnson
GenderFemale
SpecialityNurse Practitioner - Family
Location1101 Ohio Ave S, Live Oak, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306502083
  • Provider Enumeration Date: 11/16/2021
  • Last Update Date: 03/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284026550
  • Enrollment ID: I20220118001513

Medical Identifiers

Medical identifiers for Caspertine Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306502083NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11016170 (Florida)Secondary
363LF0000XNurse Practitioner - Family RN302027 (Georgia)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11016170 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN302027 (Georgia)Secondary

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. Caspertine Johnson allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20200115001292
Entity NameRural Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932586476
PECOS PAC ID: 8820305600
Enrollment ID: O20201029003001

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. Caspertine 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
Caspertine Johnson,
Po Box 5922,
Valdosta, GA 31603-5922

Ph: () -		Caspertine Johnson,
1101 Ohio Ave S,
Live Oak, FL 32064-4146

Ph: (386) 339-1060

Reviews and Comments


Nurse Practitioner Nurses in Live Oak, FL

Cheryl Renae Abersold, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 112 Irvin Ave Sw, Live Oak, FL 32064
Phone: 386-330-6380    
Mrs. Melania J Willis, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 701 Ohio Ave S, Live Oak, FL 32064
Phone: 386-330-5248    Fax: 386-208-1380
Valeria Nicole Randle, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 807 Walker Ave Nw, Live Oak, FL 32064
Phone: 386-364-8775    
Mrs. Amber Ingram Chauncey, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1002 11th St Sw, Live Oak, FL 32064
Phone: 386-364-8050    
Susan Michelle Blizzard,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 211 Ranchera St Nw, Live Oak, FL 32064
Phone: 386-364-1751    Fax: 386-364-1761
Mrs. Melissa Fay Peters, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Ohio Ave S, Live Oak, FL 32064
Phone: 386-364-0776    
Kristina Melissa North, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 11th St Sw, Live Oak, FL 32064
Phone: 386-362-0800    

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.