Emalyn Phillips Johnson, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Boston, Massachusetts. Her current practice location is
300 Longwood Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 355-6000.
Emalyn Phillips Johnson is licensed to practice in Massachusetts (license number RN2293050) 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 1265997480.
Physician's Profile
Full Name | Emalyn Phillips Johnson |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 300 Longwood Ave, Boston, Massachusetts |
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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: 1265997480
- Provider Enumeration Date: 02/01/2019
- Last Update Date: 10/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 2668883687
- Enrollment ID: I20201124000924
Medical Identifiers
Medical identifiers for Emalyn Phillips Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265997480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0204X | Radiology - Vascular & Interventional Radiology | RN2293050 (Massachusetts) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | RN2293050 (Massachusetts) | 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. Emalyn Phillips Johnson allows following entities to bill medicare on her behalf.
Entity Name | Children's Hospital Radiology Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487681912 PECOS PAC ID: 6901800861 Enrollment ID: O20060907000067 |
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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. Emalyn Phillips 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 |
Emalyn Phillips Johnson, APRN 300 Longwood Ave, Boston, MA 02115-5724 Ph: () - | Emalyn Phillips Johnson, APRN 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 |
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