Charla Johansen, NURSE PRACTITIONER in Sedona, AZ

Charla Johansen, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Gerontology" in Sedona, Arizona. Her current practice location is 95 Soldiers Pass Rd Ste B1, Sedona, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 204-4900.

Charla Johansen is licensed to practice in Arizona (license number 234691) 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 1982787560.

Contact Information

	Charla Johansen, NURSE PRACTITIONER
	95 Soldiers Pass Rd Ste B1, Sedona, AZ 86336-4712
	(928) 204-4900
	Not Available

Map and Direction

Provider's Profile

Full Name	Charla Johansen
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	95 Soldiers Pass Rd Ste B1, Sedona, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982787560
Provider Enumeration Date: 10/24/2006
Last Update Date: 09/26/2022

Medicare PECOS Information:

PECOS PAC ID: 7618975582
Enrollment ID: I20200507001117

Medical Identifiers

Medical identifiers for Charla Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982787560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	234691 (Arizona)	Primary
363LG0600X	Nurse Practitioner - Gerontology	3234612 (Florida)	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. Charla Johansen allows following entities to bill medicare on her behalf.

Entity Name	Charla Johansen- Nurse Practitioner
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477279412 PECOS PAC ID: 0345617130 Enrollment ID: O20221108002006

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. Charla Johansen 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
Charla Johansen, NURSE PRACTITIONER 95 Soldiers Pass Rd Ste B1, Sedona, AZ 86336-4712 Ph: (928) 204-4900	Charla Johansen, NURSE PRACTITIONER 95 Soldiers Pass Rd Ste B1, Sedona, AZ 86336-4712 Ph: (928) 204-4900

Reviews and Comments

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Marian Sue Diamond, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Bell Rock Plz, Sedona, AZ 86351 Phone: 928-204-4999 Fax: 928-204-4990

Charla Johansen, NURSE PRACTITIONER - Medicare Nurse Practitioner in Sedona, AZ