Kelly Johnson, FNP in White Oak, TX - Medicare Nurse Practitioner

Kelly Johnson, FNP is a medicare enrolled "Family Medicine" physician in White Oak, Texas. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 103 S White Oak Rd, White Oak, Texas. You can reach out to her office (for appointments etc.) via phone at (430) 625-2001.

Kelly Johnson is licensed to practice in Texas (license number AP140704) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871151365.

Contact Information

	Kelly Johnson, FNP
	103 S White Oak Rd, White Oak, TX 75693-1517
	(430) 625-2001
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	103 S White Oak Rd, White Oak, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Johnson graduated from medical school in 2018

NPI Data:

NPI Number: 1871151365
Provider Enumeration Date: 05/30/2019
Last Update Date: 10/30/2019

Medicare PECOS Information:

PECOS PAC ID: 3678808151
Enrollment ID: I20190708000471

Medical Identifiers

Medical identifiers for Kelly Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871151365	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	AP140704 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Longview Regional Medical Center	Longview, TX	Hospital

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. Kelly Johnson allows following entities to bill medicare on her behalf.

Entity Name	White Oak Family Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134787625 PECOS PAC ID: 2769717248 Enrollment ID: O20190708000414

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. Kelly 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
Kelly Johnson, FNP Po Box 271, White Oak, TX 75693-0271 Ph: (430) 625-2001	Kelly Johnson, FNP 103 S White Oak Rd, White Oak, TX 75693-1517 Ph: (430) 625-2001

Kelly Johnson, FNP - Medicare Nurse Practitioner in White Oak, TX