Heather Todd Johnson, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Santa Fe, New Mexico. Her current practice location is
4801 Beckner Rd Ste 1700, Santa Fe, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 772-2000.
Heather Todd Johnson is licensed to practice in New Mexico (license number 77209) 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 1710749072.
Physician's Profile
Full Name | Heather Todd Johnson |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4801 Beckner Rd Ste 1700, Santa Fe, New Mexico |
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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: 1710749072
- Provider Enumeration Date: 01/23/2024
- Last Update Date: 03/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193164366
- Enrollment ID: I20240419003514
Medical Identifiers
Medical identifiers for Heather Todd Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710749072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 77209 (New Mexico) | Secondary |
363LF0000X | Nurse Practitioner - Family | 77209 (New Mexico) | 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. Heather Todd Johnson allows following entities to bill medicare on her behalf.
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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Entity Name | G & M Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821598830 PECOS PAC ID: 8527323526 Enrollment ID: O20180522001612 |
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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. Heather Todd 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 |
Heather Todd Johnson, FNP Po Box 2581, Tijeras, NM 87059-2581 Ph: (505) 440-5665 | Heather Todd Johnson, FNP 4801 Beckner Rd Ste 1700, Santa Fe, NM 87507-3641 Ph: (505) 772-2000 |
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