Courtney Johnston, APRN-C is a medicare enrolled "Nurse Practitioner - Family" in Thayer, Kansas. Her current practice location is
414 Hillside Dr, Thayer, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 212-4518.
Courtney Johnston is licensed to practice in Missouri (license number 2024035140) 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 1356176549.
Provider's Profile
| Full Name | Courtney Johnston |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 414 Hillside Dr, Thayer, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356176549
- Provider Enumeration Date: 09/06/2024
- Last Update Date: 11/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628502754
- Enrollment ID: I20241113000377
Medical Identifiers
Medical identifiers for Courtney Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356176549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2024035140 (Missouri) | 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. Courtney Johnston allows following entities to bill medicare on her behalf.
| Entity Name | Mcpherson Medical & Diagnostic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003407883
PECOS PAC ID: 5698773539
Enrollment ID: O20061201000167 |
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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. Courtney Johnston 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 |
|---|
Courtney Johnston, APRN-C
414 Hillside Dr,
Thayer, KS 66776-5029
Ph: (620) 212-4518 | Courtney Johnston, APRN-C
414 Hillside Dr,
Thayer, KS 66776-5029
Ph: (620) 212-4518 |
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