Kori Ann Elise Johnston, AGACNP-BC in Los Angeles, CA

Kori Ann Elise Johnston, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. Her current practice location is 1520 San Pablo St Ste 4300, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 444-5849.

Kori Ann Elise Johnston is licensed to practice in California (license number NP95014861) 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 1275141657.

Contact Information

	Kori Ann Elise Johnston, AGACNP-BC
	1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330
	(323) 444-5849
	Not Available

Map and Direction

Provider's Profile

Full Name	Kori Ann Elise Johnston
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1520 San Pablo St Ste 4300, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275141657
Provider Enumeration Date: 07/21/2020
Last Update Date: 12/14/2020

Medicare PECOS Information:

PECOS PAC ID: 7012334790
Enrollment ID: I20200826001266

Medical Identifiers

Medical identifiers for Kori Ann Elise Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275141657	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	NP95014861 (California)	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. Kori Ann Elise Johnston allows following entities to bill medicare on her behalf.

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

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. Kori Ann Elise Johnston 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
Kori Ann Elise Johnston, AGACNP-BC Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-5849	Kori Ann Elise Johnston, AGACNP-BC 1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330 Ph: (323) 444-5849

Reviews and Comments

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Kori Ann Elise Johnston, AGACNP-BC - Medicare Nurse Practitioner in Los Angeles, CA