Shadonna Johnson, NP in Prentiss, MS - Medicare Nurse Practitioner

Shadonna Johnson, NP is a medicare enrolled "Nurse Practitioner" in Prentiss, Mississippi. Her current practice location is 910 Second St, Prentiss, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 792-2078.

Shadonna Johnson is licensed to practice in Mississippi (license number 903128) 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 1164016424.

Contact Information

	Shadonna Johnson, NP
	910 Second St, Prentiss, MS 39474-9117
	(601) 792-2078
	Not Available

Map and Direction

Provider's Profile

Full Name	Shadonna Johnson
Gender	Female
Speciality	Nurse Practitioner
Location	910 Second St, Prentiss, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164016424
Provider Enumeration Date: 02/25/2021
Last Update Date: 02/25/2021

Medicare PECOS Information:

PECOS PAC ID: 5395151484
Enrollment ID: I20210316001221

Medical Identifiers

Medical identifiers for Shadonna Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164016424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	903128 (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. Shadonna Johnson allows following entities to bill medicare on her behalf.

Entity Name	Family Health Care Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043236326 PECOS PAC ID: 5395656946 Enrollment ID: O20040831001179

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. Shadonna 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
Shadonna Johnson, NP 910 Second St, Prentiss, MS 39474-9117 Ph: (601) 792-2078	Shadonna Johnson, NP 910 Second St, Prentiss, MS 39474-9117 Ph: (601) 792-2078

Reviews and Comments

Nurse Practitioner Nurses in Prentiss, MS

Rhonda Cox, MSN, FNP-C/AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134
Mrs. Michele Bryant Mahaffey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St, Suite A, Prentiss, MS 39474 Phone: 601-792-2200 Fax: 601-792-2345
Mary Sue Watkins, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1014 Rose St, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134
Diane Morris, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 Second St, Prentiss, MS 39474 Phone: 601-792-2078 Fax: 601-792-8211
Angela Marice Perkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Second St, Prentiss, MS 39474 Phone: 601-792-2078
Katie Daley Rush, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St., Ste. A, Prentiss, MS 39474 Phone: 601-792-1223 Fax: 601-651-6076

Shadonna Johnson, NP - Medicare Nurse Practitioner in Prentiss, MS