Jill Johnson, PMHNP-BC in Indianapolis, IN - Medicare Nurse Practitioner

Jill Johnson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Indianapolis, Indiana. Her current practice location is 1311 W 96th St, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 876-3699.

Jill Johnson is licensed to practice in Indiana (license number 71014254A) 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 1841073228.

Contact Information

	Jill Johnson, PMHNP-BC
	1311 W 96th St, Indianapolis, IN 46260-1191
	(317) 876-3699
	Not Available

Map and Direction

Provider's Profile

Full Name	Jill Johnson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1311 W 96th St, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841073228
Provider Enumeration Date: 08/17/2023
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 5193171353
Enrollment ID: I20231024001911

Medical Identifiers

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

Identifier	Type	State	Issuer
1841073228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	28189036A (Indiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71014254A (Indiana)	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. Jill Johnson allows following entities to bill medicare on her behalf.

Entity Name	Mending Minds, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780258798 PECOS PAC ID: 4284037987 Enrollment ID: O20210719001995

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. Jill 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
Jill Johnson, PMHNP-BC 702 W Alto Rd, Kokomo, IN 46902-4907 Ph: (765) 453-7422	Jill Johnson, PMHNP-BC 1311 W 96th St, Indianapolis, IN 46260-1191 Ph: (317) 876-3699

Reviews and Comments

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Jill Johnson, PMHNP-BC - Medicare Nurse Practitioner in Indianapolis, IN