Carol Colene Johnson, FNP-BC in Oklahoma City, OK

Carol Colene Johnson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Oklahoma City, Oklahoma. Her current practice location is 701 Cedar Lake Blvd Ste 120, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 445-1210.

Carol Colene Johnson is licensed to practice in Oklahoma (license number 210538) 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 1093423030.

Contact Information

	Carol Colene Johnson, FNP-BC
	701 Cedar Lake Blvd Ste 120, Oklahoma City, OK 73114-7815
	(405) 445-1210
	Not Available

Map and Direction

Provider's Profile

Full Name	Carol Colene Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	701 Cedar Lake Blvd Ste 120, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093423030
Provider Enumeration Date: 11/08/2022
Last Update Date: 11/08/2022

Medicare PECOS Information:

PECOS PAC ID: 3678941580
Enrollment ID: I20221128001570

Medical Identifiers

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

Identifier	Type	State	Issuer
1093423030	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	210538 (Oklahoma)	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. Carol Colene Johnson allows following entities to bill medicare on her behalf.

Entity Name	Creek Nation Hospital & Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130

Entity Name	Williams Medical Group Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300

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. Carol Colene 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
Carol Colene Johnson, FNP-BC 7780 Ns 3570 Rd, Prague, OK 74864-9238 Ph: (203) 561-7122	Carol Colene Johnson, FNP-BC 701 Cedar Lake Blvd Ste 120, Oklahoma City, OK 73114-7815 Ph: (405) 445-1210

Reviews and Comments

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Carol Colene Johnson, FNP-BC - Medicare Nurse Practitioner in Oklahoma City, OK