Tanisha Marie Johnson, - Medicare Nurse Practitioner in Leesburg, FL

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Tanisha Marie Johnson, is a medicare enrolled "Nurse Practitioner - Gerontology" in Leesburg, Florida. Her current practice location is 27637 Us Highway 27, Leesburg, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 326-6001.

Tanisha Marie Johnson is licensed to practice in Florida (license number APRN11005451) 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 1568987873.

Contact Information

Tanisha Marie Johnson,
27637 Us Highway 27,
Leesburg, FL 34748-9033
(352) 326-6001
(352) 315-0235

Map and Direction




Provider's Profile

Full NameTanisha Marie Johnson
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location27637 Us Highway 27, Leesburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568987873
  • Provider Enumeration Date: 08/08/2017
  • Last Update Date: 07/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4183981418
  • Enrollment ID: I20220405002005

Medical Identifiers

Medical identifiers for Tanisha Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568987873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11005451 (Florida)Secondary
363LG0600XNurse Practitioner - Gerontology APRN11005451 (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. Tanisha Marie Johnson allows following entities to bill medicare on her behalf.
Entity NameFlorida Hospital Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225034234
PECOS PAC ID: 0749186153
Enrollment ID: O20031208000807
Entity NameOrlando Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568693554
PECOS PAC ID: 7719026251
Enrollment ID: O20091123000506
Entity NameNp Health Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790393874
PECOS PAC ID: 2365867165
Enrollment ID: O20200810002687
Entity NameProgressive Care Medical Group Of Fl, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578194452
PECOS PAC ID: 9638598576
Enrollment ID: O20200928000525

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. Tanisha 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 AddressPractice Location Address
Tanisha Marie Johnson,
27637 Us Highway 27,
Leesburg, FL 34748-9033

Ph: (352) 326-6001		Tanisha Marie Johnson,
27637 Us Highway 27,
Leesburg, FL 34748-9033

Ph: (352) 326-6001

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.