David P Johnson, FNP-C in Warsaw, IN - Medicare Nurse Practitioner

David P Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Warsaw, Indiana. His current practice location is 1210 Provident Dr, Warsaw, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 268-4300.

David P Johnson is licensed to practice in Indiana (license number 71013448A) 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 1174237705.

Contact Information

	David P Johnson, FNP-C
	1210 Provident Dr, Warsaw, IN 46580-3376
	(574) 268-4300
	Not Available

Map and Direction

Provider's Profile

Full Name	David P Johnson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1210 Provident Dr, Warsaw, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174237705
Provider Enumeration Date: 01/09/2023
Last Update Date: 03/10/2023

Medicare PECOS Information:

PECOS PAC ID: 7810360732
Enrollment ID: I20230223002133

Medical Identifiers

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

Identifier	Type	State	Issuer
1174237705	NPI	-	NPPES
71013448A	Other	IN	APRN PRECRIPTION AUTHORITY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71013448A (Indiana)	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 P Johnson allows following entities to bill medicare on his behalf.

Entity Name	Medstat Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942388368 PECOS PAC ID: 3476526476 Enrollment ID: O20040817001482

Entity Name	Kosciusko Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398

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 P 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 P Johnson, FNP-C 10229 Carriage Ct, Plymouth, IN 46563-9191 Ph: (574) 936-1916	David P Johnson, FNP-C 1210 Provident Dr, Warsaw, IN 46580-3376 Ph: (574) 268-4300

Reviews and Comments

Nurse Practitioner Nurses in Warsaw, IN

Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Provident Dr, Warsaw, IN 46580 Phone: 574-372-3800 Fax: 574-372-5823
Sara M. Vanlaningham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554
Dr. Amy Deion Stitt, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 S Scott St, Warsaw, IN 46580 Phone: 765-425-5576
Alissa Whittaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2219 Dubois Dr, Warsaw, IN 46580 Phone: 574-371-9550 Fax: 574-376-4793
Tara Janae Little, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-269-8383 Fax: 260-479-2911
Mrs. Candace G Lemke, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 N Harrison St, Warsaw, IN 46580 Phone: 574-267-1700
Kayla R Cottrill, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134

David P Johnson, FNP-C - Medicare Nurse Practitioner in Warsaw, IN