Gordon Mack Johnson Iv, APRN/CRNA/FNP - Medicare Nurse Anesthetist, Certified Registered in Ocala, FL

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Gordon Mack Johnson Iv, APRN/CRNA/FNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ocala, Florida. His current practice location is 1834 Sw 1st Ave Ste 201, Ocala, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 732-9888.

Gordon Mack Johnson Iv is licensed to practice in Florida (license number ARNP9231283) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528406444.

Contact Information

Gordon Mack Johnson Iv, APRN/CRNA/FNP
1834 Sw 1st Ave Ste 201,
Ocala, FL 34471-8102
(352) 732-9888
Not Available

Map and Direction




Provider's Profile

Full NameGordon Mack Johnson Iv
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1834 Sw 1st Ave Ste 201, Ocala, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528406444
  • Provider Enumeration Date: 06/13/2013
  • Last Update Date: 05/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8325289465
  • Enrollment ID: I20130801000161

Medical Identifiers

Medical identifiers for Gordon Mack Johnson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528406444NPI-NPPES
008994000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered ARNP9231283 (Florida)Primary
363L00000XNurse Practitioner APRN9231283 (Florida)Secondary

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. Gordon Mack Johnson Iv allows following entities to bill medicare on his behalf.
Entity NameVolusia Anesthesiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205861697
PECOS PAC ID: 3971509720
Enrollment ID: O20061018000445
Entity NameSomnicare Anesthesia & Spine Intervention Specialist, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962712794
PECOS PAC ID: 4688859960
Enrollment ID: O20110502000379
Entity NameSolace Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962046151
PECOS PAC ID: 3072945476
Enrollment ID: O20191122000303
Entity NameB & J Express Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942812540
PECOS PAC ID: 4183043128
Enrollment ID: O20200924002633

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. Gordon Mack Johnson Iv 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
Gordon Mack Johnson Iv, APRN/CRNA/FNP
Po Box 918025,
Orlando, FL 32891-8025

Ph: () -		Gordon Mack Johnson Iv, APRN/CRNA/FNP
1834 Sw 1st Ave Ste 201,
Ocala, FL 34471-8102

Ph: (352) 732-9888

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ocala, FL

Steven Joseph Fowler, CRNA,MS
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3241 Sw 34th St, Ocala, FL 34474
Phone: 352-237-5906    Fax: 352-237-8758
Catherine Lenore Wohletz Hicks,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Sw 1st Ave, Ocala, FL 34471
Phone: 352-351-7200    
Christopher L. Hazen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1511 Sw 1st Ave, Ocala, FL 34474
Phone: 352-867-0516    Fax: 352-867-5076
Matthew Carnevale, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3309 Sw 34th Cir, Ste 101, Ocala, FL 34474
Phone: 352-237-0509    
Amanda K Waters, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3309 Sw 34th Cir, Suite 101, Ocala, FL 34474
Phone: 352-237-0509    Fax: 352-237-9808
Claudio Andres Medero Torres, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1431 Sw 1st Ave, Ocala, FL 34471
Phone: 352-401-1000    
Joshua Cliff Phillips, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3330 Sw 33rd Rd, Ocala, FL 34474
Phone: 352-873-9311    Fax: 352-873-9652

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.