John Grady Johnston Jr, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portales, New Mexico. His current practice location is
42121 Us Highway 70, Portales, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 359-1800.
John Grady Johnston Jr is licensed to practice in New Mexico (license number 55422) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700362183.
Provider's Profile
Full Name | John Grady Johnston Jr |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 42121 Us Highway 70, Portales, New Mexico |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- John Grady Johnston Jr attended and graduated from in
NPI Data:
- NPI Number: 1700362183
- Provider Enumeration Date: 07/18/2018
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for John Grady Johnston Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700362183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041465807 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 120003 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 55422 (New Mexico) | Primary |
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. John Grady Johnston Jr 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 |
John Grady Johnston Jr, DNP 506 Viale Bond, Roswell, NM 88201-5874 Ph: (731) 616-8164 | John Grady Johnston Jr, DNP 42121 Us Highway 70, Portales, NM 88130-9054 Ph: (575) 359-1800 |
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