Kristy Johal, CRNP PMHNP-BC in Manchester, MD

Kristy Johal, CRNP PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Manchester, Maryland. Her current practice location is 3000 Manchester Rd Ste B, Manchester, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 861-0066.

Kristy Johal is licensed to practice in Maryland (license number R187057) 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 1609614304.

Contact Information

	Kristy Johal, CRNP PMHNP-BC
	3000 Manchester Rd Ste B, Manchester, MD 21102-1850
	(410) 861-0066
	(410) 348-7865

Map and Direction

Provider's Profile

Full Name	Kristy Johal
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3000 Manchester Rd Ste B, Manchester, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609614304
Provider Enumeration Date: 07/17/2024
Last Update Date: 07/17/2024

Medicare PECOS Information:

PECOS PAC ID: 6103364138
Enrollment ID: I20240821001600

Medical Identifiers

Medical identifiers for Kristy Johal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609614304	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R187057 (Maryland)	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. Kristy Johal allows following entities to bill medicare on her behalf.

Entity Name	Kindred Treatment Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508505769 PECOS PAC ID: 9537519749 Enrollment ID: O20240102000354

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. Kristy Johal 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
Kristy Johal, CRNP PMHNP-BC 1850 Buck Hill Dr, York, PA 17408-7626 Ph: (443) 694-1849	Kristy Johal, CRNP PMHNP-BC 3000 Manchester Rd Ste B, Manchester, MD 21102-1850 Ph: (410) 861-0066

Reviews and Comments

Nurse Practitioner Nurses in Manchester, MD

Dixie Lee Colgan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 Manchester Rd, Suite 5, Manchester, MD 21102 Phone: 410-374-9500 Fax: 410-374-5311
Mrs. Kimberly Lois Davis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2973 Manchester Rd, Manchester, MD 21102 Phone: 410-374-4747
Josephine Karikari, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Manchester Rd Ste B, Manchester, MD 21102 Phone: 443-302-9923 Fax: 410-348-7865
Emily Miller, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 Manchester Rd Ste 5, Manchester, MD 21102 Phone: 410-374-9500 Fax: 410-374-5311

Kristy Johal, CRNP PMHNP-BC - Medicare Nurse Practitioner in Manchester, MD