David Hugo Johnson, NPC in Ronkonkoma, NY - Medicare Nurse Practitioner

David Hugo Johnson, NPC is a medicare enrolled "Nurse Practitioner" in Ronkonkoma, New York. His current practice location is 3505 Veterans Memorial Hwy, Ronkonkoma, New York. You can reach out to his office (for appointments etc.) via phone at (631) 676-7656.

David Hugo Johnson is licensed to practice in New York (license number F3036431) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760585772.

Contact Information

	David Hugo Johnson, NPC
	3505 Veterans Memorial Hwy, Ronkonkoma, NY 11779
	(631) 676-7656
	(631) 676-7648

Map and Direction

Provider's Profile

Full Name	David Hugo Johnson
Gender	Male
Speciality	Nurse Practitioner
Location	3505 Veterans Memorial Hwy, Ronkonkoma, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760585772
Provider Enumeration Date: 09/06/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8820316664
Enrollment ID: I20150408000051

Medical Identifiers

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

Identifier	Type	State	Issuer
1760585772	NPI	-	NPPES
F3036431	Other	NY	UNIVERSITY STATE NY OFFIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	F3036431 (New York)	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. David Hugo Johnson allows following entities to bill medicare on his behalf.

Entity Name	Preferred Professional Medical Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083916670 PECOS PAC ID: 9739359027 Enrollment ID: O20110824000026

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. David Hugo 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
David Hugo Johnson, NPC 3505 Veterans Memorial Hwy, Ronkonkoma, NY 11779 Ph: (631) 676-7656	David Hugo Johnson, NPC 3505 Veterans Memorial Hwy, Ronkonkoma, NY 11779 Ph: (631) 676-7656

Reviews and Comments

Nurse Practitioner Nurses in Ronkonkoma, NY

Mr. Peter L Mermelstein, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3505 Veterans Memorial Hwy, Ste C, Ronkonkoma, NY 11779 Phone: 631-676-7656 Fax: 631-676-7648
Reema I Crews, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 382 Rosevale Ave, Ronkonkoma, NY 11779 Phone: 631-667-0388
Michael S Gottlieb, F.N.P-BC(ANCC) M.S.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Peconic St, 92a, Ronkonkoma, NY 11779 Phone: 631-833-0696 Fax: 206-350-1094
Ms. Rosemary P Luke, NPP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 939 Johnson Ave, Ronkonkoma, NY 11779 Phone: 631-852-1440 Fax: 631-852-1448
Ashley Nicole Goba, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 University Dr, Ronkonkoma, NY 11779 Phone: 516-456-6538
Reggie Donald Valdemar, PHMNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 153 Lake Shore Rd, Ronkonkoma, NY 11779 Phone: 111-111-1111
Ms. Carinne Nicole Cardona, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Hawkins Ave Ste 7, Ronkonkoma, NY 11779 Phone: 631-737-0055 Fax: 631-737-0076

David Hugo Johnson, NPC - Medicare Nurse Practitioner in Ronkonkoma, NY