Derquis Johnson, FNP-C in Stockbridge, GA - Medicare Nurse Practitioner

Derquis Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Stockbridge, Georgia. Her current practice location is 1240 Eagles Landing Pkwy Ste 110, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 914-0116.

Derquis Johnson is licensed to practice in Georgia (license number 250545) 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 1194447649.

Contact Information

	Derquis Johnson, FNP-C
	1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-5173
	(770) 914-0116
	Not Available

Map and Direction

Provider's Profile

Full Name	Derquis Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1240 Eagles Landing Pkwy Ste 110, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194447649
Provider Enumeration Date: 09/12/2022
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 8224490123
Enrollment ID: I20230809001699

Medical Identifiers

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

Identifier	Type	State	Issuer
1194447649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	250545 (Georgia)	Primary

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. Derquis Johnson allows following entities to bill medicare on her behalf.

Entity Name	Aylo Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013018811 PECOS PAC ID: 8022901925 Enrollment ID: O20040204000918

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. Derquis 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
Derquis Johnson, FNP-C 1039 Gate Post Ln, Lawrenceville, GA 30044-6159 Ph: () -	Derquis Johnson, FNP-C 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-5173 Ph: (770) 914-0116

Reviews and Comments

Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 239-443-8018
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213
Tricia Jarrell Morris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 547 Winter View Way, Stockbridge, GA 30281 Phone: 678-272-0086 Fax: 678-489-6860

Derquis Johnson, FNP-C - Medicare Nurse Practitioner in Stockbridge, GA