Jesse B Johnson, CRNA in Springdale, AR - Medicare Nurse Anesthetist, Certified Registered

Jesse B Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springdale, Arkansas. His current practice location is 609 W Maple Ave, Springdale, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 751-5711.

Jesse B Johnson is licensed to practice in Arkansas (license number C001215) 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 1619975455.

Contact Information

	Jesse B Johnson, CRNA
	609 W Maple Ave, Springdale, AR 72764-5335
	(479) 751-5711
	(479) 751-1099

Map and Direction

Provider's Profile

Full Name	Jesse B Johnson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	609 W Maple Ave, Springdale, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619975455
Provider Enumeration Date: 07/13/2005
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 5496941593
Enrollment ID: I20101201000987

Medical Identifiers

Medical identifiers for Jesse B Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619975455	NPI	-	NPPES
139829701	Medicaid	AR
83751H	Other	TX	BLUE CROSS
98519	Other	AR	BLUE CROSS
002959701	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	621415 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	C001215 (Arkansas)	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. Jesse B Johnson allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685

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. Jesse B 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
Jesse B Johnson, CRNA Po Box 583, Lowell, AR 72745-0583 Ph: (800) 475-6236	Jesse B Johnson, CRNA 609 W Maple Ave, Springdale, AR 72764-5335 Ph: (479) 751-5711

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Springdale, AR

Shannon Nguyen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099
Garret Myhan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099
Mr. Joe Vernon Casey Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711
Sherrie Bonner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099
Emily Jo Stickney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711
Brandie Jolie Cockrell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711
Mrs. Stephanie Michele Kendall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 503, Springdale, AR 72764 Phone: 479-751-3722 Fax: 479-751-1099

Jesse B Johnson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Springdale, AR