Ebony A Johnson, CRNP, WHNP-BC in Philadelphia, PA

Ebony A Johnson, CRNP, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Philadelphia, Pennsylvania. Her current practice location is 1080 N Delaware Ave, Suite 300d, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 287-2114.

Ebony A Johnson is licensed to practice in Pennsylvania (license number SP0022627) 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 1275967085.

Contact Information

	Ebony A Johnson, CRNP, WHNP-BC
	1080 N Delaware Ave, Suite 300d, Philadelphia, PA 19125-4330
	(215) 287-2114
	Not Available

Map and Direction

Provider's Profile

Full Name	Ebony A Johnson
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	1080 N Delaware Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275967085
Provider Enumeration Date: 08/28/2013
Last Update Date: 12/21/2020

Medicare PECOS Information:

PECOS PAC ID: 7315347689
Enrollment ID: I20210609000615

Medical Identifiers

Medical identifiers for Ebony A Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275967085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN616212 (Pennsylvania)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	SP0022627 (Pennsylvania)	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. Ebony A Johnson allows following entities to bill medicare on her behalf.

Entity Name	Abington Memorial Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1316189855 PECOS PAC ID: 3274437736 Enrollment ID: O20091218000204

Entity Name	Abington Memorial Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1548825243 PECOS PAC ID: 3274437736 Enrollment ID: O20190723002404

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. Ebony A 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
Ebony A Johnson, CRNP, WHNP-BC 1080 N Delaware Ave, Suite 300d, Philadelphia, PA 19125-4330 Ph: () -	Ebony A Johnson, CRNP, WHNP-BC 1080 N Delaware Ave, Suite 300d, Philadelphia, PA 19125-4330 Ph: (215) 287-2114

Reviews and Comments

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Ebony A Johnson, CRNP, WHNP-BC - Medicare Nurse Practitioner in Philadelphia, PA