Mr Justin T John, NP - Medicare Nurse Practitioner in Liverpool, NY

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Mr Justin T John, NP is a medicare enrolled "Nurse Practitioner - Family" in Liverpool, New York. His current practice location is 5100 W Taft Rd, Liverpool, New York. You can reach out to his office (for appointments etc.) via phone at (315) 452-2828.

Mr Justin T John is licensed to practice in New York (license number F350077) 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 1104529890.

Contact Information

Mr Justin T John, NP
5100 W Taft Rd,
Liverpool, NY 13088-3807
(315) 452-2828
(315) 744-1950

Map and Direction




Provider's Profile

Full NameMr Justin T John
GenderMale
SpecialityNurse Practitioner - Family
Location5100 W Taft Rd, Liverpool, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104529890
  • Provider Enumeration Date: 03/23/2023
  • Last Update Date: 05/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4284090481
  • Enrollment ID: I20230512002009

Medical Identifiers

Medical identifiers for Mr Justin T John such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104529890NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F350077 (New York)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 Justin T John allows following entities to bill medicare on his behalf.
Entity NameSt Josephs Hospital Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400
Entity NameSuny Health Science Center At Syracuse
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184974529
PECOS PAC ID: 7214833086
Enrollment ID: O20031211000420
Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744

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 Justin T John 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 AddressPractice Location Address
Mr Justin T John, NP
405 Mallard Dr,
Camillus, NY 13031-2097

Ph: (315) 546-4416		Mr Justin T John, NP
5100 W Taft Rd,
Liverpool, NY 13088-3807

Ph: (315) 452-2828

Reviews and Comments


Nurse Practitioner Nurses in Liverpool, NY

Nicole Brice Corlyon,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8324 Oswego Rd Ste D, Liverpool, NY 13090
Phone: 315-652-6551    Fax: 315-652-7039
Naomi L Mehmedovic,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8324 Oswego Rd Ste D, Liverpool, NY 13090
Phone: 315-652-6551    Fax: 315-652-7039
Meahgan Lefevre, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4811 Buckley Rd, Liverpool, NY 13088
Phone: 315-457-9966    Fax: 315-457-9854
Paige Strassner,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7375 Oswego Rd, Liverpool, NY 13090
Phone: 716-699-9032    
Mrs. Julie G. Aziz, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5100 W Taft Rd, 3r, Liverpool, NY 13088
Phone: 315-452-2240    Fax: 315-452-2237
Mrs. Elizabeth Marie Carrigan,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4820 W Taft Rd, Suite 201, Liverpool, NY 13088
Phone: 315-448-6215    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.