Jennifer Marie Johnson, FNP-C in Gary, WV - Medicare Nurse Practitioner

Jennifer Marie Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Gary, West Virginia. Her current practice location is Po Box 507, Gary, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 448-2101.

Jennifer Marie Johnson is licensed to practice in West Virginia (license number 119260) 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 1205683869.

Contact Information

	Jennifer Marie Johnson, FNP-C
	Po Box 507, Gary, WV 24836-0507
	(304) 448-2101
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Marie Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	Po Box 507, Gary, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205683869
Provider Enumeration Date: 05/02/2024
Last Update Date: 04/23/2025

Medicare PECOS Information:

PECOS PAC ID: 1658814793
Enrollment ID: I20240618001953

Medical Identifiers

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

Identifier	Type	State	Issuer
1205683869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	97296 (West Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	119260 (West Virginia)	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. Jennifer Marie Johnson allows following entities to bill medicare on her behalf.

Entity Name	Cabin Creek Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366495525 PECOS PAC ID: 2466431101 Enrollment ID: O20130905000096

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. Jennifer Marie 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
Jennifer Marie Johnson, FNP-C 1675 Stewart St, Welch, WV 24801-2142 Ph: (304) 888-0514	Jennifer Marie Johnson, FNP-C Po Box 507, Gary, WV 24836-0507 Ph: (304) 448-2101

Reviews and Comments

Nurse Practitioner Nurses in Gary, WV

Amy Lee West, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5883 Black Diamond Highway, Gary, WV 24836 Phone: 304-448-2101
Sandra L Estep, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Route 103 Supply Street, Gary, WV 24836 Phone: 304-448-2101 Fax: 304-448-3217
Lavetta Hutchinson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Route 103 Supply Street, Gary, WV 24836 Phone: 304-448-2101 Fax: 304-448-3217
Mrs. Tamera Beth Ball, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Venus Drive, Gary, WV 24836 Phone: 304-448-2121
Keisha R Saunders, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Rr 103 Supply Street, Gary, WV 24836 Phone: 304-448-2101 Fax: 304-448-3217

Jennifer Marie Johnson, FNP-C - Medicare Nurse Practitioner in Gary, WV