Illisia Marie Johnston, NP-C - Medicare Nurse Practitioner in Laurel, MS

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Illisia Marie Johnston, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Laurel, Mississippi. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice South Central Clinics, Inc and her current practice location is 1008 N 15th Ave, Laurel, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 426-5125.

Illisia Marie Johnston is licensed to practice in Mississippi (license number F06212134) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003486556.

Contact Information

Illisia Marie Johnston, NP-C
1008 N 15th Ave,
Laurel, MS 39440-2656
(601) 426-5125
Not Available

Map and Direction




Provider's Profile

Full NameIllisia Marie Johnston
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1008 N 15th Ave, Laurel, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Illisia Marie Johnston graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1003486556
  • Provider Enumeration Date: 06/28/2021
  • Last Update Date: 10/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062800691
  • Enrollment ID: I20211101000338

Medical Identifiers

Medical identifiers for Illisia Marie Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003486556NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F06212134 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Central Clinics, Inc4385876655100

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. Illisia Marie Johnston allows following entities to bill medicare on her behalf.
Entity NameSouth Central Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801226287
PECOS PAC ID: 4385876655
Enrollment ID: O20140515000834
Entity NameJefferson Neurology Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518486943
PECOS PAC ID: 5395006977
Enrollment ID: O20180222000090

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. Illisia Marie Johnston 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 AddressPractice Location Address
Illisia Marie Johnston, NP-C
Po Box 247,
Laurel, MS 39441-0247

Ph: () -		Illisia Marie Johnston, NP-C
1008 N 15th Ave,
Laurel, MS 39440-2656

Ph: (601) 426-5125

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.