Lauralie Johnson, ACNP in Glendale, CA - Medicare Nurse Practitioner

Lauralie Johnson, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Glendale, California. Her current practice location is 710 S Central Ave Ste 100, Glendale, California. You can reach out to her office (for appointments etc.) via phone at (818) 660-4490.

Lauralie Johnson is licensed to practice in California (license number 95007354) 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 1033638168.

Contact Information

	Lauralie Johnson, ACNP
	710 S Central Ave Ste 100, Glendale, CA 91204-4613
	(818) 660-4490
	Not Available

Map and Direction

Provider's Profile

Full Name	Lauralie Johnson
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	710 S Central Ave Ste 100, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033638168
Provider Enumeration Date: 09/09/2017
Last Update Date: 09/09/2017

Medicare PECOS Information:

PECOS PAC ID: 6406119155
Enrollment ID: I20180411002621

Medical Identifiers

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

Identifier	Type	State	Issuer
1033638168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95007354 (California)	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. Lauralie Johnson allows following entities to bill medicare on her behalf.

Entity Name	Hollywood Presbyterian Emergency Medical Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972826931 PECOS PAC ID: 7618006263 Enrollment ID: O20100520000454

Entity Name	Centinela Freeman Emergency Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528333101 PECOS PAC ID: 0042469108 Enrollment ID: O20121004000437

Entity Name	Gem Medical Group Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689364721 PECOS PAC ID: 3072984400 Enrollment ID: O20230124000274

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. Lauralie 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
Lauralie Johnson, ACNP 1107 Fair Oaks Ave # 299, South Pasadena, CA 91030-3311 Ph: (858) 525-1575	Lauralie Johnson, ACNP 710 S Central Ave Ste 100, Glendale, CA 91204-4613 Ph: (818) 660-4490

Reviews and Comments

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Brianna Ruth Oexmann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 N Central Ave, Glendale, CA 91203 Phone: 888-777-1945 Fax: 805-413-9099
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Lauralie Johnson, ACNP - Medicare Nurse Practitioner in Glendale, CA