Shayna Johnson, in Leesburg, FL - Medicare Nurse Practitioner

Shayna Johnson, is a medicare enrolled "Nurse Practitioner - Family" in Leesburg, Florida. Her current practice location is 33825 Secret Hill Dr, Leesburg, Florida. You can reach out to her office (for appointments etc.) via phone at (231) 760-7330.

Shayna Johnson is licensed to practice in Florida (license number 9379136) 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 1245871128.

Contact Information

	Shayna Johnson,
	33825 Secret Hill Dr, Leesburg, FL 34788-3845
	(231) 760-7330
	Not Available

Map and Direction

Provider's Profile

Full Name	Shayna Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	33825 Secret Hill Dr, Leesburg, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245871128
Provider Enumeration Date: 10/02/2019
Last Update Date: 12/10/2019

Medicare PECOS Information:

PECOS PAC ID: 2668807207
Enrollment ID: I20200108002850

Medical Identifiers

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

Identifier	Type	State	Issuer
1245871128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9379136 (Florida)	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. Shayna Johnson allows following entities to bill medicare on her behalf.

Entity Name	Np Health Of Fl Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790393874 PECOS PAC ID: 2365867165 Enrollment ID: O20200810002687

Entity Name	Hospitalist Medicine Physicians Of Mississippi-tcg, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386122877 PECOS PAC ID: 2961881503 Enrollment ID: O20220628001447

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. Shayna 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
Shayna Johnson, 10123 Us Highway 441, Leesburg, FL 34788-3952 Ph: (352) 901-6288	Shayna Johnson, 33825 Secret Hill Dr, Leesburg, FL 34788-3845 Ph: (231) 760-7330

Reviews and Comments

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Debra C Gatlin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-360-6582
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Shayna Johnson, - Medicare Nurse Practitioner in Leesburg, FL