Courtney Shay Johnson, CNP in Dermott, AR - Medicare Nurse Practitioner

Courtney Shay Johnson, CNP is a medicare enrolled "Nurse Practitioner - Family" in Dermott, Arkansas. Her current practice location is 300 S School St, Dermott, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 538-5296.

Courtney Shay Johnson is licensed to practice in Arkansas (license number A004434) 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 1386026359.

Contact Information

	Courtney Shay Johnson, CNP
	300 S School St, Dermott, AR 71638-2127
	(870) 538-5296
	(870) 538-3701

Map and Direction

Provider's Profile

Full Name	Courtney Shay Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	300 S School St, Dermott, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386026359
Provider Enumeration Date: 06/25/2015
Last Update Date: 06/07/2021

Medicare PECOS Information:

PECOS PAC ID: 8325356553
Enrollment ID: I20151007002200

Medical Identifiers

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

Identifier	Type	State	Issuer
1386026359	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A004434 (Arkansas)	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 Shay Johnson allows following entities to bill medicare on her behalf.

Entity Name	Mainline Health Systems, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922727726 PECOS PAC ID: 5193785590 Enrollment ID: O20041011000567

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 Shay 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
Courtney Shay Johnson, CNP Po Box 509, Dermott, AR 71638-0509 Ph: (870) 538-5414	Courtney Shay Johnson, CNP 300 S School St, Dermott, AR 71638-2127 Ph: (870) 538-5296

Reviews and Comments

Nurse Practitioner Nurses in Dermott, AR

Rebekah Ayecock, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 South School St, Dermott, AR 71638 Phone: 870-538-3355 Fax: 855-811-4203
Tiffany Wargo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-3355
Brenda Fowler, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 604 S Pecan St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701
Kimberly Weeks, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296
Mrs. Dana Shea Phillips, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701
Shenika Jackson-king, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701

Courtney Shay Johnson, CNP - Medicare Nurse Practitioner in Dermott, AR