Deshah Jalen Johnson, NP in Wake Forest, NC - Medicare Nurse Practitioner

Deshah Jalen Johnson, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Wake Forest, North Carolina. Her current practice location is 833 Wake Forest Business Park Ste F, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 230-1419.

Deshah Jalen Johnson is licensed to practice in North Carolina (license number 5021005) 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 1013737212.

Contact Information

	Deshah Jalen Johnson, NP
	833 Wake Forest Business Park Ste F, Wake Forest, NC 27587-7184
	(919) 230-1419
	Not Available

Map and Direction

Provider's Profile

Full Name	Deshah Jalen Johnson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	833 Wake Forest Business Park Ste F, Wake Forest, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013737212
Provider Enumeration Date: 10/12/2024
Last Update Date: 10/12/2024

Medicare PECOS Information:

PECOS PAC ID: 2961930649
Enrollment ID: I20250108002766

Medical Identifiers

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

Identifier	Type	State	Issuer
1013737212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5021005 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5021005 (North Carolina)	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. Deshah Jalen Johnson allows following entities to bill medicare on her behalf.

Entity Name	Greene Mental Wellness, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093456378 PECOS PAC ID: 9537540653 Enrollment ID: O20220721000962

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. Deshah Jalen 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
Deshah Jalen Johnson, NP 200 Park At North Hills St Apt 1208, Raleigh, NC 27609-2651 Ph: (910) 554-8203	Deshah Jalen Johnson, NP 833 Wake Forest Business Park Ste F, Wake Forest, NC 27587-7184 Ph: (919) 230-1419

Reviews and Comments

Nurse Practitioner Nurses in Wake Forest, NC

Rebecca K Dallas, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1655 Wake Drive, Suite 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277
Caroline Wambui Kinge, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2204 Lower Lake Rd, Wake Forest, NC 27587 Phone: 919-630-3475
Deborah Hupp, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 245 East Roosevelt Ave, Minuteclinic Diagnostic Of North Carolina, Wake Forest, NC 27587 Phone: 866-389-2727 Fax: 401-652-9787
Cherita Anders, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 195-564-7799 Fax: 919-556-5277
Ms. Christina Theresa Newman, AGPCNP - BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Tackwood Ct, Wake Forest, NC 27587 Phone: 919-757-9194
Gwen Christine Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 S Main St, Wake Forest, NC 27587 Phone: 919-350-0365

Deshah Jalen Johnson, NP - Medicare Nurse Practitioner in Wake Forest, NC