Mrs Carolyn S Johnson, FNP - Medicare Nurse Practitioner in Indianola, MS

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Mrs Carolyn S Johnson, FNP is a medicare enrolled "Registered Nurse - Hospice" in Indianola, Mississippi. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Uppal Medical Center Llc and her current practice location is 1027 French Rd, Indianola, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 466-0330.

Mrs Carolyn S Johnson is licensed to practice in Mississippi (license number R800714) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669975587.

Contact Information

Mrs Carolyn S Johnson, FNP
1027 French Rd,
Indianola, MS 38751-9605
(662) 466-0330
(662) 756-0931

Map and Direction




Provider's Profile

Full NameMrs Carolyn S Johnson
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location1027 French Rd, Indianola, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Carolyn S Johnson graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1669975587
  • Provider Enumeration Date: 03/16/2018
  • Last Update Date: 03/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1456244524
  • Enrollment ID: I20200212000315

Medical Identifiers

Medical identifiers for Mrs Carolyn S Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669975587NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WH1000XRegistered Nurse - Hospice R800714 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Uppal Medical Center Llc458799854763

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. Mrs Carolyn S Johnson allows following entities to bill medicare on her behalf.
Entity NameRegion Vi Community Mental Health Commission
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154433233
PECOS PAC ID: 0749183663
Enrollment ID: O20040129000045
Entity NameMdb Behavioral Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669835310
PECOS PAC ID: 0749572915
Enrollment ID: O20160708000104
Entity NameCommunity Care Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20210520000556

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. Mrs Carolyn S 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 AddressPractice Location Address
Mrs Carolyn S Johnson, FNP
1027 French Rd,
Indianola, MS 38751-9605

Ph: (662) 466-0330		Mrs Carolyn S Johnson, FNP
1027 French Rd,
Indianola, MS 38751-9605

Ph: (662) 466-0330

Reviews and Comments


Registered Nurse Nurses in Indianola, MS

Yolanda Denise Perryman, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 319 Janet Davis Cir, Indianola, MS 38751
Phone: 662-207-4357    
Annie Hibbler Pierson,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 27 Britt Rd, Indianola, MS 38751
Phone: 662-347-9230    

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).

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