Mrs Gina M Johnson, FNP in Big Rapids, MI - Medicare Nurse Practitioner

Mrs Gina M Johnson, FNP is a medicare enrolled "Nurse Practitioner" in Big Rapids, Michigan. Her current practice location is 1019 Campus Dr, Big Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 591-2614.

Mrs Gina M Johnson is licensed to practice in Michigan (license number 4704286080) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336626431.

Contact Information

	Mrs Gina M Johnson, FNP
	1019 Campus Dr, Big Rapids, MI 49307-2280
	(231) 591-2614
	(231) 591-5970

Map and Direction

Provider's Profile

Full Name	Mrs Gina M Johnson
Gender	Female
Speciality	Nurse Practitioner
Location	1019 Campus Dr, Big Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336626431
Provider Enumeration Date: 07/23/2018
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 8527312099
Enrollment ID: I20181120000659

Medical Identifiers

Medical identifiers for Mrs Gina M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336626431	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704286080 (Michigan)	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. Mrs Gina M Johnson allows following entities to bill medicare on her behalf.

Entity Name	Gregory Lambourne
Entity Type	Practitioner - Internal Medicine
Entity Identifiers	NPI Number: 1598775850 PECOS PAC ID: 0143218339 Enrollment ID: I20040505000971

Entity Name	Lake City Primary Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952896151 PECOS PAC ID: 7911242433 Enrollment ID: O20190102001466

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 Gina M 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
Mrs Gina M Johnson, FNP 1019 Campus Dr, Big Rapids, MI 49307-2280 Ph: (231) 591-2614	Mrs Gina M Johnson, FNP 1019 Campus Dr, Big Rapids, MI 49307-2280 Ph: (231) 591-2614

Reviews and Comments

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Mrs Gina M Johnson, FNP - Medicare Nurse Practitioner in Big Rapids, MI