Petagaye Tm Johnson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fitchburg, WI

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Petagaye Tm Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fitchburg, Wisconsin. She graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Physician Solutions Of South Florida, Llc and her current practice location is 5150 E Cheryl Pkwy Unit 301, Fitchburg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (786) 278-2008.

Petagaye Tm Johnson is licensed to practice in Wisconsin (license number 222148) 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 1205223898.

Contact Information

Petagaye Tm Johnson, CRNA
5150 E Cheryl Pkwy Unit 301,
Fitchburg, WI 53711-7659
(786) 278-2008
Not Available

Map and Direction




Provider's Profile

Full NamePetagaye Tm Johnson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience21 Years
Location5150 E Cheryl Pkwy Unit 301, Fitchburg, Wisconsin
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:
  • Petagaye Tm Johnson graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1205223898
  • Provider Enumeration Date: 04/21/2015
  • Last Update Date: 04/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7719299031
  • Enrollment ID: I20180907001611

Medical Identifiers

Medical identifiers for Petagaye Tm Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205223898NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 222148 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jfk Medical CenterAtlantis, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Physician Solutions Of South Florida, Llc4688805286220

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. Petagaye Tm Johnson allows following entities to bill medicare on her behalf.
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355
Entity NameGreater Florida Anesthesiologists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528630795
PECOS PAC ID: 3173711017
Enrollment ID: O20101220000829
Entity NameAnesthesia Physician Solutions Of South Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104248699
PECOS PAC ID: 4688805286
Enrollment ID: O20140325000665

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. Petagaye Tm 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
Petagaye Tm Johnson, CRNA
5150 E Cheryl Pkwy Unit 301,
Fitchburg, WI 53711-7659

Ph: (786) 278-2008		Petagaye Tm Johnson, CRNA
5150 E Cheryl Pkwy Unit 301,
Fitchburg, WI 53711-7659

Ph: (786) 278-2008

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fitchburg, WI

Sarah A Wilczewski, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 5930 Schumann Dr, Fitchburg, WI 53711
Phone: 608-225-1668    
James P Albrecht, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2987 Hartwicke Dr, Fitchburg, WI 53711
Phone: 608-347-4704    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.