Keimah W Johnson, CRNP in Philadelphia, PA

Keimah W Johnson, CRNP is a medicare enrolled "Registered Nurse" in Philadelphia, Pennsylvania. Her current practice location is 555 S 43rd St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 685-7504.

Keimah W Johnson is licensed to practice in Pennsylvania (license number SP009682) 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 1861713935.

Contact Information

	Keimah W Johnson, CRNP
	555 S 43rd St, Philadelphia, PA 19104-4408
	(215) 685-7504
	(215) 685-7551

Map and Direction

Provider's Profile

Full Name	Keimah W Johnson
Gender	Female
Speciality	Registered Nurse
Location	555 S 43rd St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861713935
Provider Enumeration Date: 06/11/2010
Last Update Date: 07/01/2015

Medicare PECOS Information:

PECOS PAC ID: 4981893682
Enrollment ID: I20110112000102

Medical Identifiers

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

Identifier	Type	State	Issuer
1861713935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	SP009682 (Pennsylvania)	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. Keimah W Johnson allows following entities to bill medicare on her behalf.

Entity Name	City Of Philadelphia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942317094 PECOS PAC ID: 6305758723 Enrollment ID: O20040220000911

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. Keimah W 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
Keimah W Johnson, CRNP 500 S Broad St, Suite 360, Philadelphia, PA 19146-1613 Ph: (215) 685-6769	Keimah W Johnson, CRNP 555 S 43rd St, Philadelphia, PA 19104-4408 Ph: (215) 685-7504

Reviews and Comments

Registered Nurse Nurses in Philadelphia, PA

Ms. Peturah Ann Thompson-harris, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th Street, Suite 8490, Philadelphia, PA 19107 Phone: 215-955-6161 Fax: 215-923-5507
Meredith Mooney-levin, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 736 N 38th St Unit C, Philadelphia, PA 19104 Phone: 267-322-7700
Kate Katz, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 827 N 20th St, Philadelphia, PA 19130 Phone: 484-369-1020
Kaylee Morgan Baker, CNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3600 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-275-3663
Nathan Edward Platt, MSN, APRN, FNP-C Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 732 S 8th St, Philadelphia, PA 19147 Phone: 215-922-4707
Mrs. Leah Fesi, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 5000 Frankford Ave, Philadelphia, PA 19124 Phone: 215-831-2218
Tristan S Boyer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Convention Ave, Philadelphia, PA 19104 Phone: 215-662-4000

Keimah W Johnson, CRNP - Medicare Registered Nurse in Philadelphia, PA