Sally John, NP-FAMILY in Sunnyvale, TX - Medicare Nurse Practitioner

Sally John, NP-FAMILY is a medicare enrolled "Nurse Practitioner - Family" in Sunnyvale, Texas. Her current practice location is 289 Talbot Ln, Sunnyvale, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 682-1955.

Sally John is licensed to practice in Texas (license number AP136433) 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 1114415288.

Contact Information

	Sally John, NP-FAMILY
	289 Talbot Ln, Sunnyvale, TX 75182-3221
	(469) 682-1955
	Not Available

Map and Direction

Provider's Profile

Full Name	Sally John
Gender	Female
Speciality	Nurse Practitioner - Family
Location	289 Talbot Ln, Sunnyvale, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114415288
Provider Enumeration Date: 04/24/2018
Last Update Date: 04/24/2018

Medicare PECOS Information:

PECOS PAC ID: 3274962584
Enrollment ID: I20200408003086

Medical Identifiers

Medical identifiers for Sally John such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114415288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP136433 (Texas)	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. Sally John allows following entities to bill medicare on her behalf.

Entity Name	Dallas County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583

Entity Name	Talvah Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457712291 PECOS PAC ID: 1254639040 Enrollment ID: O20160412000300

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. Sally John 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
Sally John, NP-FAMILY 289 Talbot Ln, Sunnyvale, TX 75182-3221 Ph: () -	Sally John, NP-FAMILY 289 Talbot Ln, Sunnyvale, TX 75182-3221 Ph: (469) 682-1955

Reviews and Comments

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Sally John, NP-FAMILY - Medicare Nurse Practitioner in Sunnyvale, TX