Kyle Allen Johnson, NURSE PRACTITIONER in Rocky Mount, VA

Kyle Allen Johnson, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rocky Mount, Virginia. His current practice location is 30 Technology Dr, Rocky Mount, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 483-0582.

Kyle Allen Johnson is licensed to practice in Virginia (license number 0024185091) 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 1649991944.

Contact Information

	Kyle Allen Johnson, NURSE PRACTITIONER
	30 Technology Dr, Rocky Mount, VA 24151-3008
	(540) 483-0582
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyle Allen Johnson
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	30 Technology Dr, Rocky Mount, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649991944
Provider Enumeration Date: 09/06/2022
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 3870961915
Enrollment ID: I20221122001242

Medical Identifiers

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

Identifier	Type	State	Issuer
1649991944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024185091 (Virginia)	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. Kyle Allen Johnson allows following entities to bill medicare on his behalf.

Entity Name	Piedmont Regional Community Services Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699754010 PECOS PAC ID: 0345215208 Enrollment ID: O20090319000311

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. Kyle Allen 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
Kyle Allen Johnson, NURSE PRACTITIONER 30 Technology Dr, Rocky Mount, VA 24151-3008 Ph: (540) 483-0582	Kyle Allen Johnson, NURSE PRACTITIONER 30 Technology Dr, Rocky Mount, VA 24151-3008 Ph: (540) 483-0582

Reviews and Comments

Nurse Practitioner Nurses in Rocky Mount, VA

Julie Taylor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 S Main St, Suite 201, Rocky Mount, VA 24151 Phone: 540-484-4800
Melissa Ivy Dalton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21230 Virgil H Goode Hwy, Rocky Mount, VA 24151 Phone: 540-352-4000 Fax: 540-266-3727
Mrs. Crystal Rose Buck, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Marketplace Dr, Suite 102, Rocky Mount, VA 24151 Phone: 540-483-3678 Fax: 540-483-3820
Staci Naomi Greer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 Orchard Ave, Rocky Mount, VA 24151 Phone: 540-489-3467
Susan Denise Martin, FNP-BC, NP-C DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-489-6426 Fax: 540-489-6313
Rhonda Gail Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Technology Dr, Rocky Mount, VA 24151 Phone: 540-483-0582 Fax: 276-694-3445

Kyle Allen Johnson, NURSE PRACTITIONER - Medicare Nurse Practitioner in Rocky Mount, VA