Mallory Quinn Johnson, RN in Corbin, KY - Medicare Certified Registered Nurse Anesthetist (crna)

Mallory Quinn Johnson, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Corbin, Kentucky. She went to Lincoln Memorial University Medical Department and graduated in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Capital Anesthesia Solutions Of Kentucky Llc and her current practice location is 449 Kelso Trl, Corbin, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 273-6971.

Mallory Quinn Johnson is licensed to practice in Kentucky (license number 3015641) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1972110815.

Contact Information

	Mallory Quinn Johnson, RN
	449 Kelso Trl, Corbin, KY 40701-8502
	(606) 273-6971
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Quinn Johnson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	449 Kelso Trl, Corbin, Kentucky
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mallory Quinn Johnson attended and graduated from Lincoln Memorial University Medical Department in 2020

NPI Data:

NPI Number: 1972110815
Provider Enumeration Date: 09/24/2020
Last Update Date: 01/15/2021

Medicare PECOS Information:

PECOS PAC ID: 7719390400
Enrollment ID: I20210120001041

Medical Identifiers

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

Identifier	Type	State	Issuer
1972110815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3015641 (Kentucky)	Primary
163W00000X	Registered Nurse	1129317 (Kentucky)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Cumberland Regional Hospital	Somerset, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Capital Anesthesia Solutions Of Kentucky Llc	0446681548	31

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. Mallory Quinn Johnson allows following entities to bill medicare on her behalf.

Entity Name	Capital Anesthesia Solutions Of Kentucky Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023665882 PECOS PAC ID: 0446681548 Enrollment ID: O20200505001112

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. Mallory Quinn 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
Mallory Quinn Johnson, RN 449 Kelso Trl, Corbin, KY 40701-8502 Ph: (606) 273-6971	Mallory Quinn Johnson, RN 449 Kelso Trl, Corbin, KY 40701-8502 Ph: (606) 273-6971

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Corbin, KY

Benjamin C Foster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212
Corissa L. Stovall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212
Edward M Hoffner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way Ste 205, Corbin, KY 40701 Phone: 606-523-2140 Fax: 606-523-2547
Jeffrey L Cunningham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 275 Highway 770, Corbin, KY 40701 Phone: 606-526-7874
Lisa K Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212
Jaime I. Davenport, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212
Mrs. Iris A Horton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 275 Hwy 770, Corbin, KY 40701 Phone: 865-777-0909 Fax: 865-777-0910

Mallory Quinn Johnson, RN - Medicare Certified Registered Nurse Anesthetist (crna) in Corbin, KY