Eddie Lee Johnson Jr, CRNA in Charleston, WV - Medicare Certified Registered Nurse Anesthetist (crna)

Eddie Lee Johnson Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charleston, West Virginia. He graduated from nursing school in 2003 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Novant Health New Hanover Regional Medical Center Llc and his current practice location is 3200 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-4077.

Eddie Lee Johnson Jr is licensed to practice in North Carolina (license number 290824) 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 1548369929.

Contact Information

	Eddie Lee Johnson Jr, CRNA
	3200 Maccorkle Ave Se, Charleston, WV 25304
	(304) 388-4077
	(304) 388-9852

Map and Direction

Provider's Profile

Full Name	Eddie Lee Johnson Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	22 Years
Location	3200 Maccorkle Ave Se, Charleston, West Virginia
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:

Eddie Lee Johnson Jr graduated from nursing school in 2003

NPI Data:

NPI Number: 1548369929
Provider Enumeration Date: 09/21/2006
Last Update Date: 03/17/2021

Medicare PECOS Information:

PECOS PAC ID: 4587550520
Enrollment ID: I20181219003480

Medical Identifiers

Medical identifiers for Eddie Lee Johnson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548369929	NPI	-	NPPES
P00116681	Other	WV	MEDICARE RR
2603380000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	54873 (West Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	70139 (West Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	290824 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
New Hanover Regional Medical Center	Wilmington, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Health New Hanover Regional Medical Center Llc	7113330168	167

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. Eddie Lee Johnson Jr allows following entities to bill medicare on his behalf.

Entity Name	J. Arthur Dosher Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275660342 PECOS PAC ID: 8921910324 Enrollment ID: O20031104000362

Entity Name	Pender Memorial Hospital Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053444901 PECOS PAC ID: 9638066095 Enrollment ID: O20040301000887

Entity Name	Novant Health New Hanover Regional Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750978839 PECOS PAC ID: 7113330168 Enrollment ID: O20210112000621

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. Eddie Lee Johnson 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 Address	Practice Location Address
Eddie Lee Johnson Jr, CRNA 833 Saunders St, St Albans, WV 25177 Ph: (304) 546-4189	Eddie Lee Johnson Jr, CRNA 3200 Maccorkle Ave Se, Charleston, WV 25304 Ph: (304) 388-4077

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charleston, WV

Sandra R Miles, CRNA, RN, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-388-5432
Mrs. Hope Halstead Webb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-388-2470
Victoria J Kitts, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Mccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-9556 Fax: 304-388-9582
Meg Adair Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave S. E., Charleston, WV 25304 Phone: 304-388-9556
Tiffany D. Dutton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Dept. Of Surgery, Charleston, WV 25304 Phone: 304-388-5503 Fax: 304-388-9852
Jennifer D Valdez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5432
Christopher S Mullins, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-688-0228

Eddie Lee Johnson Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Charleston, WV