Kristina Elane Johnson, NP in Tyler, TX - Medicare Nurse Practitioner

Kristina Elane Johnson, NP is a medicare enrolled "Nurse Practitioner" in Tyler, Texas. Her current practice location is 2608 Mcdonald Rd, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 595-5514.

Kristina Elane Johnson is licensed to practice in Texas (license number AP140053) 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 1962052514.

Contact Information

	Kristina Elane Johnson, NP
	2608 Mcdonald Rd, Tyler, TX 75701-5934
	(903) 595-5514
	(903) 262-3707

Map and Direction

Provider's Profile

Full Name	Kristina Elane Johnson
Gender	Female
Speciality	Nurse Practitioner
Location	2608 Mcdonald Rd, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962052514
Provider Enumeration Date: 09/16/2019
Last Update Date: 09/16/2019

Medicare PECOS Information:

PECOS PAC ID: 3274864640
Enrollment ID: I20191016001442

Medical Identifiers

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

Identifier	Type	State	Issuer
1962052514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP140053 (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. Kristina Elane Johnson allows following entities to bill medicare on her behalf.

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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. Kristina Elane 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
Kristina Elane Johnson, NP Po Box 130549, Tyler, TX 75713-0549 Ph: (903) 579-3931	Kristina Elane Johnson, NP 2608 Mcdonald Rd, Tyler, TX 75701-5934 Ph: (903) 595-5514

Reviews and Comments

Nurse Practitioner Nurses in Tyler, TX

Brandi Dunford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702 Phone: 903-606-7995
Jacob G Thoele, AGACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-606-8718 Fax: 903-606-1218
Abram Ambriz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Anna Elise Fenton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6210 S Broadway Ave, Tyler, TX 75703 Phone: 903-579-2700 Fax: 903-579-2799
Mary Anne Fitzgerald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Broadway Ave, Tyler, TX 75702 Phone: 903-535-0023 Fax: 903-535-0052
Rendall Northcutt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200 Fax: 903-877-5080
Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211

Kristina Elane Johnson, NP - Medicare Nurse Practitioner in Tyler, TX