Jeremy C Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake City, Iowa. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Stewart Memorial Community Hospital and his current practice location is
1301 W Main St, Lake City, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 464-3171.
Jeremy C Johnson is licensed to practice in Iowa (license number D133437) 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 1982049912.
Provider's Profile
Full Name | Jeremy C Johnson |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 11 Years |
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Location | 1301 W Main St, Lake City, Iowa |
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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:
- Jeremy C Johnson graduated from nursing school in 2013
NPI Data:
- NPI Number: 1982049912
- Provider Enumeration Date: 05/03/2013
- Last Update Date: 10/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 0042459869
- Enrollment ID: I20130626000628
Medical Identifiers
Medical identifiers for Jeremy C Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982049912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | D133437 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Stewart Memorial Community Hospital | 4486563707 | 27 |
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. Jeremy C Johnson allows following entities to bill medicare on his behalf.
Entity Name | St Anthony Regional Hospital And Nursing Home |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891711925 PECOS PAC ID: 4688586829 Enrollment ID: O20031105000218 |
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Entity Name | Stewart Memorial Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285652909 PECOS PAC ID: 4486563707 Enrollment ID: O20031107000249 |
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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. Jeremy C 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 |
Jeremy C Johnson, CRNA 1301 W Main St, Lake City, IA 51449-1585 Ph: (712) 464-3171 | Jeremy C Johnson, CRNA 1301 W Main St, Lake City, IA 51449-1585 Ph: (712) 464-3171 |
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