David E Johnson, ANP in Maryville, IL - Medicare Nurse Practitioner

David E Johnson, ANP is a medicare enrolled "Nurse Practitioner" in Maryville, Illinois. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Legacy Healthcare Services Inc, Anderson Medical Group Llc and his current practice location is 2090 Uadalabene Drive, Maryville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 288-5430.

David E Johnson is licensed to practice in Illinois (license number 209-004434) 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 1477742047.

Contact Information

	David E Johnson, ANP
	2090 Uadalabene Drive, Maryville, IL 62062
	(618) 288-5430
	(618) 288-6857

Map and Direction

Provider's Profile

Full Name	David E Johnson
Gender	Male
Speciality	Nurse Practitioner
Experience	24 Years
Location	2090 Uadalabene Drive, Maryville, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David E Johnson graduated from nursing school in 2000

NPI Data:

NPI Number: 1477742047
Provider Enumeration Date: 10/19/2007
Last Update Date: 04/17/2020

Medicare PECOS Information:

PECOS PAC ID: 8921195736
Enrollment ID: I20071025000520

Medical Identifiers

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

Identifier	Type	State	Issuer
1477742047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209-004434 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Anderson Hospital	Maryville, IL	Hospital
Gateway Regional Medical Center	Granite city, IL	Hospital
St Joseph's Hospital	Highland, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Healthcare Services Inc	2163339722	2654
Anderson Medical Group Llc	5193792018	120

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. David E Johnson allows following entities to bill medicare on his behalf.

Entity Name	Anderson Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137

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. David E 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
David E Johnson, ANP 6810 State Route 162 Box 215, Maryville, IL 62062-8501 Ph: (618) 391-6405	David E Johnson, ANP 2090 Uadalabene Drive, Maryville, IL 62062 Ph: (618) 288-5430

Reviews and Comments

Nurse Practitioner Nurses in Maryville, IL

Mrs. Katherine Anne Burnley, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062 Phone: 618-288-7605 Fax: 618-288-7644
Mrs. Christie Marie Keen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088
Alyssa Ruwe Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 123, Maryville, IL 62062 Phone: 618-288-9460 Fax: 618-288-9461
Mrs. Joann Marie Wilson, RN, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2023 Vadalabene Dr Ste 300, Maryville, IL 62062 Phone: 618-288-6722 Fax: 618-288-2077
Jennifer D Wesselman-williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062 Phone: 618-288-7408 Fax: 618-288-7418
Danielle Nicole Fries, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 Fax: 618-288-0909
Christin Page Friederich, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2016 Vadalabene Dr Ste B, Maryville, IL 62062 Phone: 618-288-2970 Fax: 618-288-3572

David E Johnson, ANP - Medicare Nurse Practitioner in Maryville, IL