Mr Johnny Edward Patterson Jr, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mount Gretna, Pennsylvania. His current practice location is
283 Butler Rd, Mount Gretna, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 273-8871.
Mr Johnny Edward Patterson Jr is licensed to practice in Pennsylvania (license number SP013760) 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 1336550508.
Provider's Profile
| Full Name | Mr Johnny Edward Patterson Jr |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 283 Butler Rd, Mount Gretna, Pennsylvania |
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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: 1336550508
- Provider Enumeration Date: 05/09/2014
- Last Update Date: 06/01/2017
Medicare PECOS Information:
- PECOS PAC ID: 8628290145
- Enrollment ID: I20160831002088
Medical Identifiers
Medical identifiers for Mr Johnny Edward Patterson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336550508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | L8-0000126 (Delaware) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP013760 (Pennsylvania) | 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 Johnny Edward Patterson Jr allows following entities to bill medicare on his behalf.
| Entity Name | Philhaven |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043316441
PECOS PAC ID: 8729991419
Enrollment ID: O20031110000103 |
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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 Johnny Edward Patterson Jr 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 Johnny Edward Patterson Jr, APN
283 South Butler Road,
Mount Gretna, PA 17064
Ph: () - | Mr Johnny Edward Patterson Jr, APN
283 Butler Rd,
Mount Gretna, PA 17064-6085
Ph: (717) 273-8871 |
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