David N Johnston Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Gulfport, MS

David N Johnston Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gulfport, Mississippi. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northeastern Anesthesia Pllc and his current practice location is 15190 Community Rd, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 831-0204.

David N Johnston Jr is licensed to practice in Mississippi (license number R901362) 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 1417400896.

Contact Information

David N Johnston Jr, CRNA
15190 Community Rd,
Gulfport, MS 39503-3485
(228) 831-0204
(228) 831-1868

Map and Direction




Provider's Profile

Full NameDavid N Johnston Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location15190 Community Rd, Gulfport, Mississippi
Accepts Medicare AssignmentsYes. 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 N Johnston Jr graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1417400896
  • Provider Enumeration Date: 08/02/2016
  • Last Update Date: 08/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5193011427
  • Enrollment ID: I20230425001286

Medical Identifiers

Medical identifiers for David N Johnston Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417400896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R901362 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summit Healthcare Regional Medical CenterShow low, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeastern Anesthesia Pllc428481394017

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 N Johnston Jr allows following entities to bill medicare on his behalf.
Entity NameNortheastern Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487956504
PECOS PAC ID: 4284813940
Enrollment ID: O20110126001051

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 N Johnston Jr 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
David N Johnston Jr, CRNA
12146 Dedeaux Rd,
Gulfport, MS 39503-5909

Ph: (228) 284-9442
David N Johnston Jr, CRNA
15190 Community Rd,
Gulfport, MS 39503-3485

Ph: (228) 831-0204

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Gulfport, MS

Kathryn Pittman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 15200 Community Rd, Gulfport, MS 39503
Phone: 228-575-7000    
Jason Wells, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-865-3281    Fax: 228-867-5117
Victor P Polito, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Glen Deitrick, C.R.N.A
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Glen Michael Cavalier, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 15200 Community Rd, Gulfport, MS 39503
Phone: 228-575-7000    
Julie K Klester, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Trinh Thu Weatherly, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    

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.