Lisa D Johnson, CNS in Sapulpa, OK - Medicare Nurse Practitioner

Lisa D Johnson, CNS is a medicare enrolled "Nurse Practitioner" in Sapulpa, Oklahoma. Her current practice location is 1125 E Cleveland Ave, Sapulpa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 224-9310.

Lisa D Johnson is licensed to practice in Oklahoma (license number R0055928) 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 1558386987.

Contact Information

	Lisa D Johnson, CNS
	1125 E Cleveland Ave, Sapulpa, OK 74066-4641
	(918) 224-9310
	(918) 756-3993

Map and Direction

Provider's Profile

Full Name	Lisa D Johnson
Gender	Female
Speciality	Nurse Practitioner
Location	1125 E Cleveland Ave, Sapulpa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558386987
Provider Enumeration Date: 07/13/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 1254358799
Enrollment ID: I20051212000300

Medical Identifiers

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

Identifier	Type	State	Issuer
1558386987	NPI	-	NPPES
1755928	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R0055928 (Oklahoma)	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. Lisa D Johnson allows following entities to bill medicare on her behalf.

Entity Name	Creek Nation Hospital & Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130

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. Lisa D 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
Lisa D Johnson, CNS Po Box 400, Okmulgee, OK 74447-0400 Ph: (918) 756-3334	Lisa D Johnson, CNS 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 Ph: (918) 224-9310

Reviews and Comments

Nurse Practitioner Nurses in Sapulpa, OK

Ms. Linda C Byrd, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1808 S Hickory St, Sapulpa, OK 74066 Phone: 918-224-5531 Fax: 918-224-1739
Misty Stephens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 E Bryan Ave, Sapulpa, OK 74066 Phone: 918-227-1000
Carla Newton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 E Bryan Ave, Sapulpa, OK 74066 Phone: 918-227-1000 Fax: 918-293-3129
Kristin Tidwell, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 W Taft Ave, Sapulpa, OK 74066 Phone: 918-347-8090
Johnnie Brasuell, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1125 E Cleveland Ave, Sapulpa, OK 74066 Phone: 918-224-9310 Fax: 918-756-3993
Mrs. Shea Lyn Despain, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 S Water St, Sapulpa, OK 74066 Phone: 918-347-9022
Shantel Laniece Bolton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 E Bryan Ave, Sapulpa, OK 74066 Phone: 918-227-1000

Lisa D Johnson, CNS - Medicare Nurse Practitioner in Sapulpa, OK