Alyssa Michelle Johnson, in Henderson, NC - Medicare Nurse Practitioner

Alyssa Michelle Johnson, is a medicare enrolled "Nurse Practitioner" in Henderson, North Carolina. Her current practice location is 381 Ruin Creek Rd, Henderson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 430-0666.

Alyssa Michelle Johnson is licensed to practice in North Carolina (license number 5016785) 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 1124760137.

Contact Information

	Alyssa Michelle Johnson,
	381 Ruin Creek Rd, Henderson, NC 27536-2932
	(252) 430-0666
	Not Available

Map and Direction

Provider's Profile

Full Name	Alyssa Michelle Johnson
Gender	Female
Speciality	Nurse Practitioner
Location	381 Ruin Creek Rd, Henderson, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124760137
Provider Enumeration Date: 04/11/2022
Last Update Date: 12/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0648643338
Enrollment ID: I20230228000810

Medical Identifiers

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

Identifier	Type	State	Issuer
1124760137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	269713 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	F0822069 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5016785 (North Carolina)	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. Alyssa Michelle Johnson allows following entities to bill medicare on her behalf.

Entity Name	Vance Family Medicine Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619938479 PECOS PAC ID: 9436053014 Enrollment ID: O20040114000678

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. Alyssa Michelle 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
Alyssa Michelle Johnson, 381 Ruin Creek Rd, Henderson, NC 27536-2932 Ph: (252) 430-0666	Alyssa Michelle Johnson, 381 Ruin Creek Rd, Henderson, NC 27536-2932 Ph: (252) 430-0666

Reviews and Comments

Nurse Practitioner Nurses in Henderson, NC

Levina Kumar, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 943 W Andrews Ave, Henderson, NC 27536 Phone: 252-433-0061
Samantha Carole Pernell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Ruin Creek Rd, Henderson, NC 27536 Phone: 252-436-0440
Crystal Young Kaplan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 566 Ruin Creek Rd, Henderson, NC 27536 Phone: 252-436-1148
Mr. Henry Cutler Torrey, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536 Phone: 252-492-9565 Fax: 252-492-5373
Elizabeth Ann Houston, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 511 Ruin Creek Rd, Ste 101, Henderson, NC 27536 Phone: 252-492-8576
Mrs. Kay Belk Suh, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 W Parkview Dr, Henderson, NC 27536 Phone: 252-438-3549 Fax: 252-438-2084
Cheryl Harris Hester, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 511 Ruin Creek Rd Ste 101, Henderson, NC 27536 Phone: 252-436-0440 Fax: 252-436-0281

Alyssa Michelle Johnson, - Medicare Nurse Practitioner in Henderson, NC