Jithin Johnson, in Flushing, NY - Medicare Registered Nurse

Jithin Johnson, is a medicare enrolled "Registered Nurse" in Flushing, New York. His current practice location is 10201 66th Rd, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at (718) 830-4000.

Jithin Johnson is licensed to practice in New York (license number 698006) 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 1861225658.

Contact Information

	Jithin Johnson,
	10201 66th Rd, Flushing, NY 11375-2029
	(718) 830-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jithin Johnson
Gender	Male
Speciality	Registered Nurse
Location	10201 66th Rd, Flushing, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861225658
Provider Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 1153859152
Enrollment ID: I20250103001269

Medical Identifiers

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

Identifier	Type	State	Issuer
1861225658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	698006 (New York)	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. Jithin Johnson allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Anesthesiology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498

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. Jithin 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
Jithin Johnson, 227 Caswell Ave, Staten Island, NY 10314-1952 Ph: (646) 884-2970	Jithin Johnson, 10201 66th Rd, Flushing, NY 11375-2029 Ph: (718) 830-4000

Reviews and Comments

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Jithin Johnson, - Medicare Registered Nurse in Flushing, NY