Dr Mario Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Memphis, Tennessee. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Phillip R. Bowden, M.d.,p.a., American Anesthesiology Of Tennessee Pc, Midwest Anesthesia Providers Sc and his current practice location is
1417 Monroe Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 272-7200.
Dr Mario Johnson is licensed to practice in Tennessee (license number 26516) 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 1396261905.
Physician's Profile
Full Name | Dr Mario Johnson |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 7 Years |
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Location | 1417 Monroe Ave, Memphis, Tennessee |
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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:
- Dr Mario Johnson graduated from medical school in 2017
NPI Data:
- NPI Number: 1396261905
- Provider Enumeration Date: 08/15/2017
- Last Update Date: 01/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759647886
- Enrollment ID: I20191113000484
Medical Identifiers
Medical identifiers for Dr Mario Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396261905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 114648 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209016529 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 26516 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Phillip R. Bowden, M.d.,p.a. | 7315847118 | 12 |
American Anesthesiology Of Tennessee Pc | 9931001922 | 370 |
Midwest Anesthesia Providers Sc | 9830480581 | 143 |
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 Mario Johnson allows following entities to bill medicare on his behalf.
Entity Name | Phillip R. Bowden, M.d.,p.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932216389 PECOS PAC ID: 7315847118 Enrollment ID: O20040109000254 |
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Entity Name | East Memphis Anesthesia Services Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578592663 PECOS PAC ID: 1850386038 Enrollment ID: O20040416001400 |
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Entity Name | American Anesthesiology Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
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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 Mario 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 |
Dr Mario Johnson, CRNA 3121 Steeplegate Dr, Germantown, TN 38138-7745 Ph: () - | Dr Mario Johnson, CRNA 1417 Monroe Ave, Memphis, TN 38104-3634 Ph: (901) 272-7200 |
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