Dr Deora Kaye Johnson, DNP, CRNP in Baltimore, MD

Dr Deora Kaye Johnson, DNP, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baltimore, Maryland. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lifebridge Community Physicians Inc and his current practice location is 10 North Greene St., 6d-104, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 605-7363.

Dr Deora Kaye Johnson is licensed to practice in Maryland (license number R193679) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336139278.

Contact Information

	Dr Deora Kaye Johnson, DNP, CRNP
	10 North Greene St., 6d-104, Baltimore, MD 21201-1524
	(410) 605-7363
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Deora Kaye Johnson
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	10 North Greene St., Baltimore, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Deora Kaye Johnson graduated from nursing school in 2010

NPI Data:

NPI Number: 1336139278
Provider Enumeration Date: 10/23/2005
Last Update Date: 06/03/2011

Medicare PECOS Information:

PECOS PAC ID: 3678581683
Enrollment ID: I20180521002329

Medical Identifiers

Medical identifiers for Dr Deora Kaye Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336139278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R193679 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Hospital Center	Randallstown, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifebridge Community Physicians Inc	3678751468	185

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. Dr Deora Kaye Johnson allows following entities to bill medicare on his behalf.

Entity Name	Lifebridge Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318

Entity Name	Windrush Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124404421 PECOS PAC ID: 5890002224 Enrollment ID: O20150917002164

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. Dr Deora Kaye 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
Dr Deora Kaye Johnson, DNP, CRNP 7405 Quixote Ct, Bowie, MD 20720-4354 Ph: (256) 323-3886	Dr Deora Kaye Johnson, DNP, CRNP 10 North Greene St., 6d-104, Baltimore, MD 21201-1524 Ph: (410) 605-7363

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000

Dr Deora Kaye Johnson, DNP, CRNP - Medicare Nurse Practitioner in Baltimore, MD