Mr Jeffrey Don Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Coleman, Texas. His current practice location is
310 S Pecos St, Coleman, Texas. You can reach out to his office (for appointments etc.) via phone at
(325) 793-2000.
Mr Jeffrey Don Johnson is licensed to practice in Texas (license number 595335) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033114970.
Provider's Profile
| Full Name | Mr Jeffrey Don Johnson |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 310 S Pecos St, Coleman, Texas |
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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: 1033114970
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 02/20/2009
Medicare PECOS Information:
- PECOS PAC ID: 1850354887
- Enrollment ID: I20041111000337
Medical Identifiers
Medical identifiers for Mr Jeffrey Don Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033114970 | NPI | - | NPPES |
| 088844804 | Medicaid | TX | |
| 00C44S | Other | TX | BCBS GROUP # |
| 170450401 | Medicaid | TX | |
| 84214U | Other | TX | BCBS IND. PROV. # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 595335 (Texas) | 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. Mr Jeffrey Don Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Enterprise Anesthesia Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528178019
PECOS PAC ID: 7315900347
Enrollment ID: O20041110000358 |
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| Entity Name | Preferred Hospital Leasing Coleman Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063869329
PECOS PAC ID: 4789574724
Enrollment ID: O20170724003289 |
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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. Mr Jeffrey Don 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 |
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Mr Jeffrey Don Johnson, CRNA
Po Box 1827,
Brownwood, TX 76804-1827
Ph: (325) 641-2655 | Mr Jeffrey Don Johnson, CRNA
310 S Pecos St,
Coleman, TX 76834-4159
Ph: (325) 793-2000 |
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