Sandra Louise Johnson, is a medicare enrolled "Family Medicine" in Kingston, Washington. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Port Gamble S'klallam Tribe and her current practice location is
32020 Little Boston Rd Ne, Kingston, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 297-2840.
Sandra Louise Johnson is licensed to practice in Washington (license number AP60866033) 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 1710473590.
Provider's Profile
| Full Name | Sandra Louise Johnson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 32020 Little Boston Rd Ne, Kingston, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sandra Louise Johnson graduated from nursing school in 2018
NPI Data:
- NPI Number: 1710473590
- Provider Enumeration Date: 07/05/2018
- Last Update Date: 03/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 3375946304
- Enrollment ID: I20210916002047
Medical Identifiers
Medical identifiers for Sandra Louise Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710473590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP60866033 (Washington) | Secondary |
| 207Q00000X | Family Medicine | AP60866033 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Port Gamble S'klallam Tribe | 6204737927 | 11 |
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. Sandra Louise Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Port Gamble S'klallam Tribe |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760428650
PECOS PAC ID: 6204737927
Enrollment ID: O20040115001158 |
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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. Sandra Louise 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 |
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Sandra Louise Johnson,
32020 Little Boston Rd Ne,
Kingston, WA 98346-9734
Ph: (360) 297-2840 | Sandra Louise Johnson,
32020 Little Boston Rd Ne,
Kingston, WA 98346-9734
Ph: (360) 297-2840 |
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