James Kim Johnson, CRNA in Colton, CA - Medicare Nurse Anesthetist, Certified Registered

James Kim Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Colton, California. His current practice location is 400 N Pepper Ave, Anesthesia Dept., 2nd Floor, Colton, California. You can reach out to his office (for appointments etc.) via phone at (909) 580-2440.

James Kim Johnson is licensed to practice in California (license number NA3887) 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 1508189812.

Contact Information

	James Kim Johnson, CRNA
	400 N Pepper Ave, Anesthesia Dept., 2nd Floor, Colton, CA 92324-1801
	(909) 580-2440
	(909) 580-2441

Map and Direction

Provider's Profile

Full Name	James Kim Johnson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508189812
Provider Enumeration Date: 03/02/2010
Last Update Date: 03/02/2010

Medicare PECOS Information:

PECOS PAC ID: 3375671571
Enrollment ID: I20100510000102

Medical Identifiers

Medical identifiers for James Kim Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508189812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	NA3887 (California)	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. James Kim Johnson allows following entities to bill medicare on his behalf.

Entity Name	Summit Anesthesia Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588938971 PECOS PAC ID: 0941465512 Enrollment ID: O20120705000148

Entity Name	San Bernardino Gastroenterology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265982375 PECOS PAC ID: 7214218726 Enrollment ID: O20161221000716

Entity Name	Sb Anesthesia Inc., A Professional Nursing Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952816787 PECOS PAC ID: 6709146392 Enrollment ID: O20180130000679

Entity Name	Seven Star Hospital Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852

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. James Kim 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
James Kim Johnson, CRNA Po Box 765, Colton, CA 92324-0800 Ph: (909) 580-2440	James Kim Johnson, CRNA 400 N Pepper Ave, Anesthesia Dept., 2nd Floor, Colton, CA 92324-1801 Ph: (909) 580-2440

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Colton, CA

Mr. Richard William Reis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 North Pepper Avenue 2nd Floor, Anesthesia Dept., Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Elizabeth Karenina Manullang, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 877-873-2762
Ivan Stiger, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Michael T Reid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 E Washington St, Ste. 100, Colton, CA 92324 Phone: 909-370-2190
Daniel Hioe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Dale Arthur Reile, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave Fl 2, Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Cheryl Sisler Carr, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Anesthesia Dept, 2nd Floor, Colton, CA 92324 Phone: 909-580-2440

James Kim Johnson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Colton, CA