Antallia Shauntell Johnson, CRNP in Boaz, AL - Medicare Nurse Practitioner

Antallia Shauntell Johnson, CRNP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Boaz, Alabama. Her current practice location is 2505 Us Hwy 431 Women's Center Suite A, Boaz, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 840-4530.

Antallia Shauntell Johnson is licensed to practice in Alabama (license number 1-154179) 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 1710443767.

Contact Information

	Antallia Shauntell Johnson, CRNP
	2505 Us Hwy 431 Women's Center Suite A, Boaz, AL 35957
	(256) 840-4530
	(256) 840-4537

Map and Direction

Provider's Profile

Full Name	Antallia Shauntell Johnson
Gender	Female
Speciality	Nurse Practitioner - Obstetrics & Gynecology
Location	2505 Us Hwy 431 Women's Center Suite A, Boaz, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710443767
Provider Enumeration Date: 02/14/2019
Last Update Date: 02/14/2019

Medicare PECOS Information:

PECOS PAC ID: 2567704620
Enrollment ID: I20190422001569

Medical Identifiers

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

Identifier	Type	State	Issuer
1710443767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	1-154179 (Alabama)	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. Antallia Shauntell Johnson allows following entities to bill medicare on her behalf.

Entity Name	Eastern Obstetrics And Gynecology, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154435584 PECOS PAC ID: 3971526286 Enrollment ID: O20060112000120

Entity Name	Summers W. Taylor, Iii, Md, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639455280 PECOS PAC ID: 9931372414 Enrollment ID: O20111027000908

Entity Name	Bbh Womens Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659086791 PECOS PAC ID: 0244540557 Enrollment ID: O20230418002056

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. Antallia Shauntell 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
Antallia Shauntell Johnson, CRNP 2505 Us Hwy 431 Women's Center Suite A, Boaz, AL 35957 Ph: (256) 840-4530	Antallia Shauntell Johnson, CRNP 2505 Us Hwy 431 Women's Center Suite A, Boaz, AL 35957 Ph: (256) 840-4530

Reviews and Comments

Nurse Practitioner Nurses in Boaz, AL

Anna Ashley Allen, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2505 Us Highway 431, Boaz, AL 35957 Phone: 256-593-8310
Mrs. Kelsey Tucker Geer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2505 Us Highway 431, Boaz, AL 35957 Phone: 256-490-7893
Ethan Caleb Bonds, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2986 Us Highway 431, Boaz, AL 35957 Phone: 256-840-8181
Sangduan Barnes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2986 Us Highway 431, Boaz, AL 35957 Phone: 256-840-8181 Fax: 256-744-7272
Patrick Sellers, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2986 Us Highway 431, Boaz, AL 35957 Phone: 256-840-8181 Fax: 256-744-7290
Ashley Nicole Colquitt, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2525 Us Highway 431, Suite 104, Boaz, AL 35957 Phone: 256-840-4653 Fax: 256-840-4665
Marla Benita Wehrwein, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2986 Us Highway 431, Boaz, AL 35957 Phone: 256-840-8181

Antallia Shauntell Johnson, CRNP - Medicare Nurse Practitioner in Boaz, AL