Lara Cristina Johnson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Berkley, Massachusetts. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Supportive Behavioral Care Of Ma Llc and her current practice location is
3 Saints Way, Berkley, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 292-1791.
Lara Cristina Johnson is licensed to practice in Massachusetts (license number RN2279515) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912716200.
Provider's Profile
| Full Name | Lara Cristina Johnson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 3 Saints Way, Berkley, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lara Cristina Johnson graduated from nursing school in 2024
NPI Data:
- NPI Number: 1912716200
- Provider Enumeration Date: 01/02/2025
- Last Update Date: 10/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 1052834470
- Enrollment ID: I20250326003036
Medical Identifiers
Medical identifiers for Lara Cristina Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912716200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN2279515 (Massachusetts) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN04545 (Rhode Island) | Secondary |
| 163W00000X | Registered Nurse | RN79950 (Rhode Island) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2279515 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Supportive Behavioral Care Of Ma Llc | 8628346731 | 88 |
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. Lara Cristina Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Supportive Behavioral Care Of Ma Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780115519
PECOS PAC ID: 8628346731
Enrollment ID: O20170614000877 |
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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. Lara Cristina 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 |
|---|
Lara Cristina Johnson,
2343 Purchase St,
New Bedford, MA 02746-1555
Ph: (781) 436-3352 | Lara Cristina Johnson,
3 Saints Way,
Berkley, MA 02779-1343
Ph: (508) 292-1791 |
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