Kirby Johnson, FNP-BC in Fort Wayne, IN - Medicare Nurse Practitioner

Kirby Johnson, FNP-BC is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. Her current practice location is 2700 Lafayette St, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 266-0780.

Kirby Johnson is licensed to practice in Indiana (license number 71008076A) 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 1528553815.

Contact Information

	Kirby Johnson, FNP-BC
	2700 Lafayette St, Fort Wayne, IN 46806-1100
	(260) 266-0780
	(260) 266-0785

Map and Direction

Provider's Profile

Full Name	Kirby Johnson
Gender	Female
Speciality	Nurse Practitioner
Location	2700 Lafayette St, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528553815
Provider Enumeration Date: 06/28/2018
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 7012343684
Enrollment ID: I20200130002715

Medical Identifiers

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

Identifier	Type	State	Issuer
1528553815	NPI	-	NPPES
71008076A	Other	IN	INDIANA STATE BOARD OF NURSING APN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71008076A (Indiana)	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. Kirby Johnson allows following entities to bill medicare on her behalf.

Entity Name	Rp Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134570104 PECOS PAC ID: 9234424813 Enrollment ID: O20160822000852

Entity Name	Alliance Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316556848 PECOS PAC ID: 8022437318 Enrollment ID: O20201006002848

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. Kirby 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
Kirby Johnson, FNP-BC 2700 Lafayette St, Fort Wayne, IN 46806-1100 Ph: (260) 266-0780	Kirby Johnson, FNP-BC 2700 Lafayette St, Fort Wayne, IN 46806-1100 Ph: (260) 266-0780

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

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Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
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Kirby Johnson, FNP-BC - Medicare Nurse Practitioner in Fort Wayne, IN