Mark Brockbank Johnson, CRNA in Tulsa, OK - Medicare Nurse Anesthetist, Certified Registered

Mark Brockbank Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tulsa, Oklahoma. His current practice location is 1120 S Utica Ave, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 579-1000.

Mark Brockbank Johnson is licensed to practice in Oklahoma (license number 90512) 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 1861681389.

Contact Information

	Mark Brockbank Johnson, CRNA
	1120 S Utica Ave, Tulsa, OK 74104-4012
	(918) 579-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mark Brockbank Johnson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1120 S Utica Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861681389
Provider Enumeration Date: 10/22/2007
Last Update Date: 10/22/2007

Medicare PECOS Information:

PECOS PAC ID: 8426130881
Enrollment ID: I20231004002976

Medical Identifiers

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

Identifier	Type	State	Issuer
1861681389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	90512 (Oklahoma)	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. Mark Brockbank Johnson allows following entities to bill medicare on his behalf.

Entity Name	Vaughn Jones Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326424391 PECOS PAC ID: 0941518740 Enrollment ID: O20150928002543

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. Mark Brockbank 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
Mark Brockbank Johnson, CRNA Po Box 9188, Longview, TX 75608-9188 Ph: (903) 663-3600	Mark Brockbank Johnson, CRNA 1120 S Utica Ave, Tulsa, OK 74104-4012 Ph: (918) 579-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tulsa, OK

Mrs. Ashley Dinkel Westerman, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4800 S 109th East Ave, Tulsa, OK 74146 Phone: 918-392-1400
Dr. Samuel Shyam Adhikari, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-0612
Tara A Mccants, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362
Wendy A. Watkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 S. Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-918-4150
Clinton Alsup, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 800-939-7440
Stan Allen Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6839 S Canton Ave, Tulsa, OK 74136 Phone: 918-494-0612 Fax: 918-481-5170
Christopher Thomas Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362 Fax: 806-356-2939

Mark Brockbank Johnson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tulsa, OK