Tiffany Charlene Johnson, CNM, ARNP is a medicare enrolled "Advanced Practice Midwife" in Issaquah, Washington. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Swedish Health Services and her current practice location is
751 Ne Blakely Dr Ste 2030, Issaquah, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 313-4141.
Tiffany Charlene Johnson is licensed to practice in Washington (license number AP61375849) 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 1285340687.
Provider's Profile
| Full Name | Tiffany Charlene Johnson |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 3 Years |
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| Location | 751 Ne Blakely Dr Ste 2030, Issaquah, 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:
- Tiffany Charlene Johnson graduated from nursing school in 2022
NPI Data:
- NPI Number: 1285340687
- Provider Enumeration Date: 01/30/2023
- Last Update Date: 09/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355708991
- Enrollment ID: I20230613001327
Medical Identifiers
Medical identifiers for Tiffany Charlene Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285340687 | NPI | - | NPPES |
| 2249660 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN60210607 (Washington) | Secondary |
| 176B00000X | Midwife | AP61375849 (Washington) | Secondary |
| 367A00000X | Advanced Practice Midwife | AP61375849 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Swedish Health Services | 0244138196 | 934 |
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. Tiffany Charlene Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Swedish Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689612954
PECOS PAC ID: 0244138196
Enrollment ID: O20031230000187 |
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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. Tiffany Charlene 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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Tiffany Charlene Johnson, CNM, ARNP
Po Box 25608,
Salt Lake City, UT 84125-0608
Ph: (206) 320-4476 | Tiffany Charlene Johnson, CNM, ARNP
751 Ne Blakely Dr Ste 2030,
Issaquah, WA 98029-6201
Ph: (425) 313-4141 |
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