Dr Amy B Cheatwood-johnston, DC, APRN-CNP, FNP is a medicare enrolled "Nurse Practitioner - Family" provider in Russellville, Arkansas. Her current practice location is
610 Patterson Ln, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 857-9766.
Dr Amy B Cheatwood-johnston is licensed to practice in Colorado (license number 0992020) 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 1487785366.
Healthcare Provider's Profile
| Full Name | Dr Amy B Cheatwood-johnston |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 610 Patterson Ln, Russellville, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487785366
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 12/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870691330
- Enrollment ID: I20160119001670
Medical Identifiers
Medical identifiers for Dr Amy B Cheatwood-johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487785366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CHIA-1313 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0101849 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0992020 (Colorado) | 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. Dr Amy B Cheatwood-johnston allows following entities to bill medicare on her behalf.
| Provider Name | Lutheran Hospital Association Of The San Luis Valley |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235181744
PECOS PAC ID: 4789589094
Enrollment ID: O20031201000318 |
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| Provider Name | Visavis Health Care Medical Group Of Co Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164114757
PECOS PAC ID: 3476911108
Enrollment ID: O20230627003568 |
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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. Dr Amy B Cheatwood-johnston 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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Dr Amy B Cheatwood-johnston, DC, APRN-CNP, FNP
509 Main Street,
La Jara, CO 81140
Ph: (719) 274-5000 | Dr Amy B Cheatwood-johnston, DC, APRN-CNP, FNP
610 Patterson Ln,
Russellville, AR 72802-1392
Ph: (479) 857-9766 |
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