Ms Shannon Victoria Johnson, WHNP in Choctaw, MS

Ms Shannon Victoria Johnson, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Choctaw, Mississippi. Her current practice location is 210 Hospital Cir, Choctaw, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 389-4420.

Ms Shannon Victoria Johnson is licensed to practice in Mississippi (license number 901996) 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 1255843033.

Contact Information

	Ms Shannon Victoria Johnson, WHNP
	210 Hospital Cir, Choctaw, MS 39350-6781
	(601) 389-4420
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Shannon Victoria Johnson
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	210 Hospital Cir, Choctaw, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255843033
Provider Enumeration Date: 11/01/2017
Last Update Date: 01/03/2019

Medicare PECOS Information:

PECOS PAC ID: 1850652769
Enrollment ID: I20180309000246

Medical Identifiers

Medical identifiers for Ms Shannon Victoria Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255843033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	901996 (Mississippi)	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 Shannon Victoria Johnson allows following entities to bill medicare on her behalf.

Entity Name	Mississippi Band Of Choctaw Indians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790865780 PECOS PAC ID: 4385546662 Enrollment ID: O20040126000871

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 Shannon Victoria 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 Shannon Victoria Johnson, WHNP 193 Stewart Rd, Carthage, MS 39051-9600 Ph: (954) 599-6041	Ms Shannon Victoria Johnson, WHNP 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 389-4420

Reviews and Comments

Nurse Practitioner Nurses in Choctaw, MS

Linda Murray, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-656-2211
Mrs. Karen Louise Miller, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4315
Mr. Alvin T Ricks Jr., APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-656-2211 Fax: 601-389-6391
Lasteffia J Todd, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-656-2211
Lucky Ehimuohu Areghan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Choctaw Health Center, 210 Hospital Circle, Choctaw, MS 39350 Phone: 601-389-4463 Fax: 601-389-4462
Mrs. Adrienne Sisson Fulton, CPNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4500 Fax: 601-389-4462

Ms Shannon Victoria Johnson, WHNP - Medicare Nurse Practitioner in Choctaw, MS