Chadwick T Johnson, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in College Station, Texas. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Eastern Aleutian Tribes, Inc. and his current practice location is
700 Scott And White Dr, College Station, Texas. You can reach out to his office (for appointments etc.) via phone at
(979) 207-0100.
Chadwick T Johnson is licensed to practice in Texas (license number AP111203) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821010109.
Physician's Profile
Full Name | Chadwick T Johnson |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 700 Scott And White Dr, College Station, Texas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Chadwick T Johnson graduated from medical school in 2021
NPI Data:
- NPI Number: 1821010109
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 11/14/2016
Medicare PECOS Information:
- PECOS PAC ID: 9638154164
- Enrollment ID: I20100802000509
Medical Identifiers
Medical identifiers for Chadwick T Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821010109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 604645 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 604645 (Texas) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | AP111203 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Eastern Aleutian Tribes, Inc. | 2860301884 | 20 |
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. Chadwick T Johnson allows following entities to bill medicare on his behalf.
Entity Name | Wise Emergency Medicine Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366558264 PECOS PAC ID: 2769449727 Enrollment ID: O20041213000078 |
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Entity Name | Integrative Emergency Services Physician Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285922542 PECOS PAC ID: 0749447936 Enrollment ID: O20120130000932 |
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Entity Name | 24 Hour Physicians, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396083424 PECOS PAC ID: 2365670486 Enrollment ID: O20140118000272 |
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Entity Name | Century Integrated Partners, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
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Entity Name | Eastern Aleutian Tribes, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649332446 PECOS PAC ID: 2860301884 Enrollment ID: O20180413000684 |
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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. Chadwick T 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 |
Chadwick T Johnson, ACNP Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Chadwick T Johnson, ACNP 700 Scott And White Dr, College Station, TX 77845-6441 Ph: (979) 207-0100 |
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