Ms Ebony Tasha Johnson, APRN in East Haven, CT

Ms Ebony Tasha Johnson, APRN is a medicare enrolled "Nurse Practitioner - Family" in East Haven, Connecticut. Her current practice location is 444 Foxon Rd, East Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 533-5911.

Ms Ebony Tasha Johnson is licensed to practice in Connecticut (license number 7774) 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 1174004782.

Contact Information

	Ms Ebony Tasha Johnson, APRN
	444 Foxon Rd, East Haven, CT 06513-2037
	(203) 533-5911
	(475) 238-6372

Map and Direction

Provider's Profile

Full Name	Ms Ebony Tasha Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	444 Foxon Rd, East Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174004782
Provider Enumeration Date: 08/22/2018
Last Update Date: 02/27/2020

Medicare PECOS Information:

PECOS PAC ID: 0446501936
Enrollment ID: I20180921002456

Medical Identifiers

Medical identifiers for Ms Ebony Tasha Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174004782	NPI	-	NPPES
008082536	Medicaid	CT
7774	Other	CT	APRN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7774 (Connecticut)	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. Ms Ebony Tasha Johnson allows following entities to bill medicare on her behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

Entity Name	Gps Physician Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180206000646

Entity Name	Caremore Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730697483 PECOS PAC ID: 6406010552 Enrollment ID: O20220824000466

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. Ms Ebony Tasha 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
Ms Ebony Tasha Johnson, APRN 444 Foxon Rd, East Haven, CT 06513-2037 Ph: (203) 533-5911	Ms Ebony Tasha Johnson, APRN 444 Foxon Rd, East Haven, CT 06513-2037 Ph: (203) 533-5911

Reviews and Comments

Nurse Practitioner Nurses in East Haven, CT

Mrs. Eliza Outtrim, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Main St, East Haven, CT 06512 Phone: 203-376-8082
Dr. Philip Frick, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Main St, East Haven, CT 06512 Phone: 860-961-0785 Fax: 203-891-5976
Jessica Ricciardelli, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, East Haven, CT 06512 Phone: 203-469-8882 Fax: 203-467-9973
Mrs. Domanice Poindexter, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Caremore Health, 444 Foxon Rd, East Haven, CT 06513 Phone: 203-533-5911 Fax: 475-238-6372
Linda Grisgraber, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Main St, Lowr Level, East Haven, CT 06512 Phone: 203-556-5225 Fax: 203-494-7126
Jessica Margaret Sarkisian, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 317 Foxon Rd, East Haven, CT 06513 Phone: 475-441-7809

Ms Ebony Tasha Johnson, APRN - Medicare Nurse Practitioner in East Haven, CT