Glade Warren Johnson, CRNA, BSN in Goodyear, AZ - Medicare Nurse Anesthetist, Certified Registered

Glade Warren Johnson, CRNA, BSN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Goodyear, Arizona. His current practice location is 13677 W Mcdowell Rd, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 882-1500.

Glade Warren Johnson is licensed to practice in Arizona (license number 297873) 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 1609654219.

Contact Information

	Glade Warren Johnson, CRNA, BSN
	13677 W Mcdowell Rd, Goodyear, AZ 85395-2635
	(623) 882-1500
	Not Available

Map and Direction

Provider's Profile

Full Name	Glade Warren Johnson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	13677 W Mcdowell Rd, Goodyear, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609654219
Provider Enumeration Date: 09/15/2023
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4486008976
Enrollment ID: I20231003000995

Medical Identifiers

Medical identifiers for Glade Warren Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609654219	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	297873 (Arizona)	Primary
163W00000X	Registered Nurse	10836809-3102 (Utah)	Secondary

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. Glade Warren Johnson allows following entities to bill medicare on his behalf.

Entity Name	Greater Anesthesia Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525

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. Glade Warren 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
Glade Warren Johnson, CRNA, BSN 21263 W Sycamore Dr, Buckeye, AZ 85396-7898 Ph: () -	Glade Warren Johnson, CRNA, BSN 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 Ph: (623) 882-1500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Goodyear, AZ

Dr. Brooke Tillia, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13456 Fairway Loop S, Goodyear, AZ 85395 Phone: 623-986-6306
Mr. Alfredo Suarez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500
Dr. Jane Krause, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500
Maria Sarrazin Earl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500
Quentin Ortiz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500
Tamara K Haas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11331 S Santa Fe Ln, Goodyear, AZ 85338 Phone: 623-546-0411 Fax: 623-546-0411

Glade Warren Johnson, CRNA, BSN - Medicare Nurse Anesthetist, Certified Registered in Goodyear, AZ