Ms Sandra J Johnson, FNP-C in Durham, NC - Medicare Nurse Practitioner

Ms Sandra J Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Durham, North Carolina. Her current practice location is 4022 Stirrup Creek Dr, Suite 315, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 425-3000.

Ms Sandra J Johnson is licensed to practice in North Carolina (license number 5004442) 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 1306076450.

Contact Information

	Ms Sandra J Johnson, FNP-C
	4022 Stirrup Creek Dr, Suite 315, Durham, NC 27703-9411
	(919) 425-3000
	(919) 425-3001

Map and Direction

Provider's Profile

Full Name	Ms Sandra J Johnson
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	4022 Stirrup Creek Dr, Durham, 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: 1306076450
Provider Enumeration Date: 07/23/2009
Last Update Date: 04/21/2016

Medicare PECOS Information:

PECOS PAC ID: 9335293513
Enrollment ID: I20090822000197

Medical Identifiers

Medical identifiers for Ms Sandra J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306076450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	5004442 (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. Ms Sandra J Johnson allows following entities to bill medicare on her behalf.

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20210429000604

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 Sandra J 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 Sandra J Johnson, FNP-C 4022 Stirrup Creek Dr, Suite 315, Durham, NC 27703-9411 Ph: (919) 425-3000	Ms Sandra J Johnson, FNP-C 4022 Stirrup Creek Dr, Suite 315, Durham, NC 27703-9411 Ph: (919) 425-3000

Reviews and Comments

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Ms Sandra J Johnson, FNP-C - Medicare Nurse Practitioner in Durham, NC