John Grady Johnston Jr, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portales, New Mexico. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Main Street Anesthesia Of New Mexico, Llc and 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 | Certified Registered Nurse Anesthetist (crna) |
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Experience | 6 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 graduated from nursing school in 2018
NPI Data:
- NPI Number: 1700362183
- Provider Enumeration Date: 07/18/2018
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537411087
- Enrollment ID: I20190611001735
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Main Street Anesthesia Of New Mexico, Llc | 3476807538 | 149 |
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. John Grady Johnston Jr allows following entities to bill medicare on his behalf.
Entity Name | Otero County Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861450579 PECOS PAC ID: 3173516606 Enrollment ID: O20070212000377 |
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Entity Name | Main Street Anesthesia Of New Mexico, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
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Entity Name | Sleepy Plains Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265090344 PECOS PAC ID: 4284960352 Enrollment ID: O20190726001196 |
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Entity Name | Capital Anesthesia Solutions Of New Mexico Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457902215 PECOS PAC ID: 4688096126 Enrollment ID: O20200629004019 |
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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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