Emily Antonia Johnson, in New London, CT - Medicare Nurse Practitioner

Emily Antonia Johnson, is a medicare enrolled "Nurse Practitioner - Family" in New London, Connecticut. Her current practice location is 234a Bank St, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 442-0290.

Emily Antonia Johnson is licensed to practice in Connecticut (license number 12866) 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 1053175935.

Contact Information

	Emily Antonia Johnson,
	234a Bank St, New London, CT 06320-8018
	(860) 442-0290
	Not Available

Map and Direction

Provider's Profile

Full Name	Emily Antonia Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	234a Bank St, New London, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053175935
Provider Enumeration Date: 02/12/2024
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 3577900620
Enrollment ID: I20240325002236

Medical Identifiers

Medical identifiers for Emily Antonia Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053175935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12866 (Connecticut)	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. Emily Antonia Johnson allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Gi Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011

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. Emily Antonia 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
Emily Antonia Johnson, 27 Ridge Rd, Chester, CT 06412-1121 Ph: (860) 304-7933	Emily Antonia Johnson, 234a Bank St, New London, CT 06320-8018 Ph: (860) 442-0290

Reviews and Comments

Nurse Practitioner Nurses in New London, CT

Mr. Stephen Daniel Socha, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Skyla Young Cedano, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Shaws Cv, New London, CT 06320 Phone: 860-447-8304
Mrs. Susan H. Austen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Mohegan Ave,, New London, CT 06320 Phone: 860-437-3611 Fax: 860-437-1801
Eliza C Spears, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 254 Hempstead St, New London, CT 06320 Phone: 860-437-4550
Melissa Milvenan, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Shaws Cv, New London, CT 06320 Phone: 860-447-8304
Mrs. Samantha Jo Rondini, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 78 Viets St, New London, CT 06320 Phone: 860-447-1416

Emily Antonia Johnson, - Medicare Nurse Practitioner in New London, CT