Latisha Johnson, CRNA in Philadelphia, PA - Medicare Nurse Anesthetist, Certified Registered

Latisha Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Philadelphia, Pennsylvania. Her current practice location is 5501 Old York Rd, Tower 3006, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 456-3958.

Latisha Johnson is licensed to practice in Pennsylvania (license number RN515005L) 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 1184929655.

Contact Information

	Latisha Johnson, CRNA
	5501 Old York Rd, Tower 3006, Philadelphia, PA 19141-3018
	(215) 456-3958
	(215) 456-8539

Map and Direction

Provider's Profile

Full Name	Latisha Johnson
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	5501 Old York Rd, 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: 1184929655
Provider Enumeration Date: 01/14/2011
Last Update Date: 01/14/2011

Medicare PECOS Information:

PECOS PAC ID: 7517138092
Enrollment ID: I20110913000399

Medical Identifiers

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

Identifier	Type	State	Issuer
1184929655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN515005L (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. Latisha Johnson allows following entities to bill medicare on her behalf.

Entity Name	Einstein Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728

Entity Name	Hillmont G.i., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952355984 PECOS PAC ID: 3375514144 Enrollment ID: O20040804001113

Entity Name	Anestiplus, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194770487 PECOS PAC ID: 7214975937 Enrollment ID: O20050421001412

Entity Name	Rgal Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699055251 PECOS PAC ID: 7517130602 Enrollment ID: O20111107000246

Entity Name	Rlm Anesthesia Consultants, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033827324 PECOS PAC ID: 1052777802 Enrollment ID: O20230519002407

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. Latisha 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
Latisha Johnson, CRNA 5501 Old York Rd, Tower 3006, Philadelphia, PA 19141-3018 Ph: (215) 456-3958	Latisha Johnson, CRNA 5501 Old York Rd, Tower 3006, Philadelphia, PA 19141-3018 Ph: (215) 456-3958

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Philadelphia, PA

Victor Abarca, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128 Phone: 251-483-9900
Donna Simmers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-291-3000
Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664
Veronica Mooney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Lauren Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Mrs. Jaiby V George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 N. Broad Street, Philadelphia, PA 19140 Phone: 215-707-3326 Fax: 215-707-8028
Carlene M Mclaughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-349-8310

Latisha Johnson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Philadelphia, PA