Johanna T Mcdermott, NURSE PRACTITIONER in Auburn, MA

Johanna T Mcdermott, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Pediatrics" in Auburn, Massachusetts. Her current practice location is 4 Brotherton Way, Auburn, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 832-5917.

Johanna T Mcdermott is licensed to practice in Massachusetts (license number RN254292) 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 1699101188.

Contact Information

	Johanna T Mcdermott, NURSE PRACTITIONER
	4 Brotherton Way, Auburn, MA 01501-2684
	(508) 832-5917
	(508) 832-5751

Map and Direction

Provider's Profile

Full Name	Johanna T Mcdermott
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	4 Brotherton Way, Auburn, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699101188
Provider Enumeration Date: 09/17/2013
Last Update Date: 02/25/2026

Medicare PECOS Information:

PECOS PAC ID: 3274760277
Enrollment ID: I20131219001081

Medical Identifiers

Medical identifiers for Johanna T Mcdermott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699101188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	RN254292 (Massachusetts)	Primary
363L00000X	Nurse Practitioner	RN254292 (Massachusetts)	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. Johanna T Mcdermott allows following entities to bill medicare on her behalf.

Entity Name	Reliant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650

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. Johanna T Mcdermott 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
Johanna T Mcdermott, NURSE PRACTITIONER Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885	Johanna T Mcdermott, NURSE PRACTITIONER 4 Brotherton Way, Auburn, MA 01501-2684 Ph: (508) 832-5917

Reviews and Comments

Nurse Practitioner Nurses in Auburn, MA

Morgan A Hill, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Brotherton Way, Auburn, MA 01501 Phone: 508-721-1170 Fax: 508-832-0859
Ashley Cahill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Brotherton Way, Auburn, MA 01501 Phone: 508-721-1199 Fax: 508-453-8019
Anna Athanasopoulos, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Millbury St, Auburn, MA 01501 Phone: 508-832-9691
Chrystina Maria Soloperto, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Millbury St, Auburn, MA 01501 Phone: 508-832-9691 Fax: 508-832-7670
Joanne Piecka, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Millbury St, Auburn, MA 01501 Phone: 508-832-9691 Fax: 508-832-7670
Carol J Walsh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 319 Southbridge St, Auburn, MA 01501 Phone: 508-832-9646 Fax: 508-832-7862
Karen M Fleming, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 Southbridge St, Auburn, MA 01501 Phone: 508-721-1170 Fax: 508-832-0859

Johanna T Mcdermott, NURSE PRACTITIONER - Medicare Nurse Practitioner in Auburn, MA