Annie E Johnson, CNM in Portland, OR - Medicare Advanced Practice Midwife

Annie E Johnson, CNM is a medicare enrolled "Advanced Practice Midwife" in Portland, Oregon. Her current practice location is 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 775-4931.

Annie E Johnson is licensed to practice in Oregon (license number 201150133NP) 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 1396029930.

Contact Information

	Annie E Johnson, CNM
	3727 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1112
	(503) 775-4931
	(503) 788-7285

Map and Direction

Provider's Profile

Full Name	Annie E Johnson
Gender	Female
Speciality	Advanced Practice Midwife
Location	3727 Ne Martin Luther King Jr Blvd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396029930
Provider Enumeration Date: 09/30/2011
Last Update Date: 11/11/2011

Medicare PECOS Information:

PECOS PAC ID: 9436397379
Enrollment ID: I20130604000628

Medical Identifiers

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

Identifier	Type	State	Issuer
1396029930	NPI	-	NPPES
500638527	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	201150133NP (Oregon)	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. Annie E Johnson allows following entities to bill medicare on her behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Entity Name	Silverton Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172

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. Annie E 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
Annie E Johnson, CNM 3727 Ne Martin Luther King Jr Blvd, Attn: Credentialing, Portland, OR 97212-1112 Ph: (503) 775-4931	Annie E Johnson, CNM 3727 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1112 Ph: (503) 775-4931

Reviews and Comments

Advanced Practice Midwife Nurses in Portland, OR

Margaret R. Zak, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9340 Sw Barnes Road, The Prenatal Clinic, Suite 102, Portland, OR 97225 Phone: 503-216-2859
Margaret Elizabeth Shaw, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4500
Elise N Erickson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225 Phone: 503-216-2602
Olivia Kroening-roche, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7591 Fax: 503-494-7591
Kaitlin Delfin, RN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7534
Polly C Molden, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-4500 Fax: 503-494-1678
Kelsey Tassinari Poppe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7725

Annie E Johnson, CNM - Medicare Advanced Practice Midwife in Portland, OR