Johnny Lee Hedges, AG-ACNP-BC in San Angelo, TX

Johnny Lee Hedges, AG-ACNP-BC is a medicare enrolled "Nurse Practitioner" in San Angelo, Texas. His current practice location is 102 N Magdalen St, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 655-2200.

Johnny Lee Hedges is licensed to practice in Texas (license number 1099256) 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 1811606858.

Contact Information

	Johnny Lee Hedges, AG-ACNP-BC
	102 N Magdalen St, San Angelo, TX 76903-5400
	(325) 655-2200
	Not Available

Map and Direction

Provider's Profile

Full Name	Johnny Lee Hedges
Gender	Male
Speciality	Nurse Practitioner
Location	102 N Magdalen St, San Angelo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811606858
Provider Enumeration Date: 11/18/2022
Last Update Date: 11/18/2022

Medicare PECOS Information:

PECOS PAC ID: 1456725928
Enrollment ID: I20230323002148

Medical Identifiers

Medical identifiers for Johnny Lee Hedges such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811606858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1099256 (Texas)	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. Johnny Lee Hedges allows following entities to bill medicare on his behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

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. Johnny Lee Hedges 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
Johnny Lee Hedges, AG-ACNP-BC 102 N Magdalen St, San Angelo, TX 76903-5400 Ph: (325) 655-2200	Johnny Lee Hedges, AG-ACNP-BC 102 N Magdalen St, San Angelo, TX 76903-5400 Ph: (325) 655-2200

Reviews and Comments

Nurse Practitioner Nurses in San Angelo, TX

Maegin M Carlile, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2165
Ijeoma Unini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1636 Hunters Glen Rd, San Angelo, TX 76901 Phone: 325-949-5722
Tammie L Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2165
Mrs. Tina Faye Luck, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 Phone: 325-658-6524 Fax: 325-658-8895
Kate Elizabeth Young, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-747-2104
Kristen Renee Owen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4251 Sunset Dr, San Angelo, TX 76904 Phone: 325-481-2226
Mrs. Roxanne Elkins Timm, WHCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E. Harris, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166

Johnny Lee Hedges, AG-ACNP-BC - Medicare Nurse Practitioner in San Angelo, TX