Brianna Nicole Johnson, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Brooklyn, New York. Her current practice location is
4802 10th Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 283-6000.
Brianna Nicole Johnson is licensed to practice in * (Not Available) (license number ) 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 1336649771.
Physician's Profile
Full Name | Brianna Nicole Johnson |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 4802 10th Ave, Brooklyn, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336649771
- Provider Enumeration Date: 02/12/2018
- Last Update Date: 10/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 9739423716
- Enrollment ID: I20181201000276
Medical Identifiers
Medical identifiers for Brianna Nicole Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336649771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 311696 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Brianna Nicole 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 |
Brianna Nicole Johnson, DO 8008 3rd Ave, Brooklyn, NY 11209-3862 Ph: (718) 833-3636 | Brianna Nicole Johnson, DO 4802 10th Ave, Brooklyn, NY 11219-2916 Ph: (718) 283-6000 |
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