Malia Johnson, DNP, FNP in Medford, OR - Medicare Nurse Practitioner

Malia Johnson, DNP, FNP is a medicare enrolled "Nurse Practitioner - Family" in Medford, Oregon. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Options For Southern Oregon and her current practice location is 200 Beatty St, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 476-2373.

Malia Johnson is licensed to practice in Oregon (license number 202001826NP-PP) 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 1568715456.

Contact Information

	Malia Johnson, DNP, FNP
	200 Beatty St, Medford, OR 97501-5811
	(541) 476-2373
	Not Available

Map and Direction

Provider's Profile

Full Name	Malia Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	200 Beatty St, Medford, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Malia Johnson graduated from nursing school in 2019

NPI Data:

NPI Number: 1568715456
Provider Enumeration Date: 10/17/2012
Last Update Date: 04/27/2020

Medicare PECOS Information:

PECOS PAC ID: 4880022037
Enrollment ID: I20200321000526

Medical Identifiers

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

Identifier	Type	State	Issuer
1568715456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	202001826NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Asante Rogue Regional Medical Center	Medford, OR	Hospital
Asante Three Rivers Medical Center	Grants pass, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Options For Southern Oregon	0941202006	56

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. Malia Johnson allows following entities to bill medicare on her behalf.

Entity Name	Options For Southern Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062

Entity Name	Eden Practitioners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376219147 PECOS PAC ID: 0244637684 Enrollment ID: O20210927003492

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. Malia 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
Malia Johnson, DNP, FNP 1215 Sw G St, Grants Pass, OR 97526-2544 Ph: (541) 476-2373	Malia Johnson, DNP, FNP 200 Beatty St, Medford, OR 97501-5811 Ph: (541) 476-2373

Reviews and Comments

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Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315

Malia Johnson, DNP, FNP - Medicare Nurse Practitioner in Medford, OR