Mattie Raydon Johnson, in Torrington, WY - Medicare Nurse Practitioner

Mattie Raydon Johnson, is a medicare enrolled "Nurse Practitioner - Family" in Torrington, Wyoming. Her current practice location is 625 Albany Ave, Torrington, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 532-2107.

Mattie Raydon Johnson is licensed to practice in Wyoming (license number 44901) 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 1003537564.

Contact Information

	Mattie Raydon Johnson,
	625 Albany Ave, Torrington, WY 82240-1530
	(307) 532-2107
	Not Available

Map and Direction

Provider's Profile

Full Name	Mattie Raydon Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	625 Albany Ave, Torrington, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003537564
Provider Enumeration Date: 09/02/2022
Last Update Date: 09/02/2022

Medicare PECOS Information:

PECOS PAC ID: 1658748173
Enrollment ID: I20221111002264

Medical Identifiers

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

Identifier	Type	State	Issuer
1003537564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	44901 (Wyoming)	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. Mattie Raydon Johnson allows following entities to bill medicare on her behalf.

Entity Name	Cheyenne Health & Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386632594 PECOS PAC ID: 7315985942 Enrollment ID: O20110203000837

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. Mattie Raydon 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
Mattie Raydon Johnson, 625 Albany Ave, Torrington, WY 82240-1530 Ph: () -	Mattie Raydon Johnson, 625 Albany Ave, Torrington, WY 82240-1530 Ph: (307) 532-2107

Reviews and Comments

Nurse Practitioner Nurses in Torrington, WY

Matthew Jacobson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 20th Street, Torrington, WY 82440 Phone: 307-269-0947
Dr. Annmarie Valentine Wilson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Albany Ave, Torrington, WY 82240 Phone: 307-532-2107
Amy Lawan Johansson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 272 Camino Del Rey, Torrington, WY 82240 Phone: 307-231-0749
Kristin Wilkes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Albany Ave, Torrington, WY 82240 Phone: 307-532-2107
Laura Rachel Halley, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 Albany Ave, Torrington, WY 82240 Phone: 307-532-2107
Dr. Monica Nicole Teichert, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Albany Ave, Torrington, WY 82240 Phone: 307-532-2107

Mattie Raydon Johnson, - Medicare Nurse Practitioner in Torrington, WY