Kathy Johnson, NP in Mathiston, MS - Medicare Nurse Practitioner

Kathy Johnson, NP is a medicare enrolled "Nurse Practitioner - Family" in Mathiston, Mississippi. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Webster Urgent Care Llc and her current practice location is 24849 Ms Hwy 15, Mathiston, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 634-3089.

Kathy Johnson is licensed to practice in Mississippi (license number R860364) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346217502.

Contact Information

	Kathy Johnson, NP
	24849 Ms Hwy 15, Mathiston, MS 39752
	(662) 634-3089
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathy Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	24849 Ms Hwy 15, Mathiston, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathy Johnson graduated from nursing school in 2003

NPI Data:

NPI Number: 1346217502
Provider Enumeration Date: 03/07/2006
Last Update Date: 11/16/2017

Medicare PECOS Information:

PECOS PAC ID: 0941258073
Enrollment ID: I20050105000907

Medical Identifiers

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

Identifier	Type	State	Issuer
1346217502	NPI	-	NPPES
07313421	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R860364 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Choctaw Regional Medical Center	Ackerman, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Webster Urgent Care Llc	8729354055	6

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. Kathy Johnson allows following entities to bill medicare on her behalf.

Entity Name	Webster Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689197774 PECOS PAC ID: 8729354055 Enrollment ID: O20171031003130

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. Kathy 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
Kathy Johnson, NP 450 E President Ave, Tupelo, MS 38801-5599 Ph: (662) 377-4685	Kathy Johnson, NP 24849 Ms Hwy 15, Mathiston, MS 39752 Ph: (662) 634-3089

Reviews and Comments

Nurse Practitioner Nurses in Mathiston, MS

Bette Carder, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24849 Ms Hwy 15, Mathiston, MS 39752 Phone: 662-634-3089 Fax: 662-634-3063
Ashleigh Tindall Flora, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24975 Ms Hwy 15, Mathiston, MS 39752 Phone: 662-634-3089
Robert Myers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24978 Ms Highway, Mathiston, MS 39752 Phone: 662-662-3089 Fax: 662-634-3063

Kathy Johnson, NP - Medicare Nurse Practitioner in Mathiston, MS