Marie Denise Johnson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Saranac, Michigan. Her current practice location is
107 N Bridge St, Saranac, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 642-9408.
Marie Denise Johnson is licensed to practice in Michigan (license number 4704210564) 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 1487743902.
Provider's Profile
| Full Name | Marie Denise Johnson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 107 N Bridge St, Saranac, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487743902
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 10/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 3577565423
- Enrollment ID: I20070207000044
Medical Identifiers
Medical identifiers for Marie Denise Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487743902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704210564 (Michigan) | 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. Marie Denise Johnson allows following entities to bill medicare on her behalf.
| Entity Name | American Current Care Of Michigan Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659562262
PECOS PAC ID: 5799886313
Enrollment ID: O20070726000695 |
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| Entity Name | Sparrow Ionia Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811380066
PECOS PAC ID: 0042118887
Enrollment ID: O20150424002013 |
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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. Marie Denise 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 |
|---|
Marie Denise Johnson, NP-C
107 N Bridge St,
Saranac, MI 48881-5121
Ph: (616) 642-9408 | Marie Denise Johnson, NP-C
107 N Bridge St,
Saranac, MI 48881-5121
Ph: (616) 642-9408 |
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