Brenda Johnson, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Brenda Johnson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 501 S 54th St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 748-9327.

Brenda Johnson is licensed to practice in Pennsylvania (license number F11180497) 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 1659844199.

Contact Information

	Brenda Johnson, CRNP
	501 S 54th St, Philadelphia, PA 19143-1900
	(215) 748-9327
	Not Available

Map and Direction

Provider's Profile

Full Name	Brenda Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	501 S 54th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659844199
Provider Enumeration Date: 01/08/2019
Last Update Date: 01/08/2019

Medicare PECOS Information:

PECOS PAC ID: 8820491806
Enrollment ID: I20210728002565

Medical Identifiers

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

Identifier	Type	State	Issuer
1659844199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F11180497 (Pennsylvania)	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. Brenda Johnson allows following entities to bill medicare on her behalf.

Entity Name	L Squared Health Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710553227 PECOS PAC ID: 9931502515 Enrollment ID: O20210720001281

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. Brenda 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
Brenda Johnson, CRNP 33 N Cummings Dr, Middletown, DE 19709-1666 Ph: (267) 707-1048	Brenda Johnson, CRNP 501 S 54th St, Philadelphia, PA 19143-1900 Ph: (215) 748-9327

Reviews and Comments

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Brenda Johnson, CRNP - Medicare Nurse Practitioner in Philadelphia, PA