Mr Robert Johnson, FNP-C in Southern Pines, NC

Mr Robert Johnson, FNP-C is a medicare enrolled "Nurse Practitioner" in Southern Pines, North Carolina. His current practice location is 200 Pavilion Way, Southern Pines, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 235-3330.

Mr Robert Johnson is licensed to practice in North Carolina (license number 5009768) 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 1396263950.

Contact Information

	Mr Robert Johnson, FNP-C
	200 Pavilion Way, Southern Pines, NC 28387-4561
	(910) 235-3330
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Robert Johnson
Gender	Male
Speciality	Nurse Practitioner
Location	200 Pavilion Way, Southern Pines, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396263950
Provider Enumeration Date: 09/05/2017
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8921364381
Enrollment ID: I20171117001970

Medical Identifiers

Medical identifiers for Mr Robert Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396263950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5009768 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	256635 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5009768 (North Carolina)	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 Robert Johnson allows following entities to bill medicare on his behalf.

Entity Name	Pinehurst Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255388369 PECOS PAC ID: 5991617169 Enrollment ID: O20031105000305

Entity Name	Integrated Dermatology Of North Raleigh, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447748819 PECOS PAC ID: 1456607852 Enrollment ID: O20180627000707

Entity Name	Modern Ritual Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215615448 PECOS PAC ID: 4880040245 Enrollment ID: O20231023000243

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 Robert 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
Mr Robert Johnson, FNP-C 40 Duke Medicine Cir # 3k, Durham, NC 27710-4000 Ph: () -	Mr Robert Johnson, FNP-C 200 Pavilion Way, Southern Pines, NC 28387-4561 Ph: (910) 235-3330

Reviews and Comments

Nurse Practitioner Nurses in Southern Pines, NC

Mrs. America Berenice Reece, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Pavilion Way, Southern Pines, NC 28387 Phone: 910-295-5511
Devin Garner, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10889 Us Hwy 15, Southern Pines, NC 28387 Phone: 910-725-0134
Victoria L Cooper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Pavilion Way, Southern Pines, NC 28387 Phone: 910-246-4140 Fax: 865-381-1509
Kimberly Marie Niemeyer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 195 W Illinois Ave, Southern Pines, NC 28387 Phone: 910-692-2444
Erica Biles Vincent, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 135 Turner St, Southern Pines, NC 28387 Phone: 910-246-2229 Fax: 910-246-0237
Ashley Sue Cochran, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Pavilion Way, Southern Pines, NC 28387 Phone: 910-235-3330
Kathryn Fedder, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 135 Turner St, Southern Pines, NC 28387 Phone: 910-246-2229

Mr Robert Johnson, FNP-C - Medicare Nurse Practitioner in Southern Pines, NC