Shannon Marie Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Belvidere, Tennessee. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is
120 Horton Ln, Belvidere, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 308-6537.
Shannon Marie Johnson is licensed to practice in Tennessee (license number 23682) 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 1114435484.
Provider's Profile
| Full Name | Shannon Marie 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 | 120 Horton Ln, Belvidere, Tennessee |
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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:
- Shannon Marie Johnson graduated from nursing school in 2017
NPI Data:
- NPI Number: 1114435484
- Provider Enumeration Date: 01/19/2018
- Last Update Date: 02/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 7012266414
- Enrollment ID: I20231101003314
Medical Identifiers
Medical identifiers for Shannon Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114435484 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 23682 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fast Pace Medical Clinic Pllc | 5395881841 | 680 |
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. Shannon Marie Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210209002652 |
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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. Shannon Marie 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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Shannon Marie Johnson, FNP-C
1509 Old Cowan Rd,
Winchester, TN 37398-1913
Ph: (931) 962-1004 | Shannon Marie Johnson, FNP-C
120 Horton Ln,
Belvidere, TN 37306-2109
Ph: (931) 308-6537 |
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