Mr John T Connors, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Jbsa-randolph Afb, Texas. He graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Gulf Coast Integrative Health Inc, Complete Health Urgicare, Inc and his current practice location is
359 Medical Group, 221 Third Street West, Bldg. 1040, Jbsa-randolph Afb, Texas. You can reach out to his office (for appointments etc.) via phone at
(201) 652-4264.
Mr John T Connors is licensed to practice in Arizona (license number TAP4120) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477831121.
Provider's Profile
| Full Name | Mr John T Connors |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 20 Years |
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| Location | 359 Medical Group, Jbsa-randolph Afb, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr John T Connors graduated from nursing school in 2005
NPI Data:
- NPI Number: 1477831121
- Provider Enumeration Date: 07/29/2011
- Last Update Date: 02/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395068431
- Enrollment ID: I20211123002703
Medical Identifiers
Medical identifiers for Mr John T Connors such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477831121 | NPI | - | NPPES |
| 9183827 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 904871 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | TAP4120 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gulf Coast Integrative Health Inc | 1254798911 | 4 |
| Complete Health Urgicare, Inc | 6709008659 | 8 |
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 John T Connors allows following entities to bill medicare on his behalf.
| Entity Name | Complete Health Urgicare, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093139040
PECOS PAC ID: 6709008659
Enrollment ID: O20141110002201 |
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| Entity Name | Gulf Coast Integrative Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730870544
PECOS PAC ID: 1254798911
Enrollment ID: O20230612001557 |
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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 John T Connors 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 |
|---|
Mr John T Connors, NP-C
301 Fisher St,
Keesler Afb, MS 39534-2519
Ph: (228) 376-3747 | Mr John T Connors, NP-C
359 Medical Group, 221 Third Street West, Bldg. 1040,
Jbsa-randolph Afb, TX 78150
Ph: (201) 652-4264 |
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