Marissa Johnson, in Vista, CA - Medicare Nurse Practitioner

Marissa Johnson, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Vista, California. Her current practice location is 2067 W Vista Way Ste 250, Vista, California. You can reach out to her office (for appointments etc.) via phone at (562) 490-9900.

Marissa Johnson is licensed to practice in California (license number 95025351) 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 1467145938.

Contact Information

	Marissa Johnson,
	2067 W Vista Way Ste 250, Vista, CA 92083-6034
	(562) 490-9900
	Not Available

Map and Direction

Provider's Profile

Full Name	Marissa Johnson
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	2067 W Vista Way Ste 250, Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467145938
Provider Enumeration Date: 05/31/2023
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 4981068087
Enrollment ID: I20230907002779

Medical Identifiers

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

Identifier	Type	State	Issuer
1467145938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	95025351 (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. Marissa Johnson allows following entities to bill medicare on her behalf.

Entity Name	Tpirc Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225611312 PECOS PAC ID: 4486036068 Enrollment ID: O20220728002225

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. Marissa 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
Marissa Johnson, 3401 Piazza De Oro Way Unit 2, Oceanside, CA 92056-3783 Ph: (515) 868-8281	Marissa Johnson, 2067 W Vista Way Ste 250, Vista, CA 92083-6034 Ph: (562) 490-9900

Reviews and Comments

Nurse Practitioner Nurses in Vista, CA

Patricia R Holland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713
Miss Lorrie Lee York, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1237 Green Oak Rd, Vista, CA 92081 Phone: 760-598-2803 Fax: 760-598-5347
Ingrid Dekkers-o'hare, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000
Pamela N Kingery, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-407-1220
Gee Yeoun Dugan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000
Judy Puryear, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way, #250, Vista, CA 92083 Phone: 760-724-7171 Fax: 760-941-3986
Rana Safiedine, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 S Melrose Dr, Vista, CA 92081 Phone: 760-291-6700

Marissa Johnson, - Medicare Nurse Practitioner in Vista, CA