Mary Agnes Johnson, NP in Fort Worth, TX - Medicare Nurse Practitioner

Mary Agnes Johnson, NP is a medicare enrolled "Nurse Practitioner" in Fort Worth, Texas. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Integrative Emergency Services Physician Group Pa and her current practice location is 1400 8th Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 922-7070.

Mary Agnes Johnson is licensed to practice in Texas (license number 834891) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003251539.

Contact Information

	Mary Agnes Johnson, NP
	1400 8th Ave, Fort Worth, TX 76104-4110
	(817) 922-7070
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Agnes Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	1400 8th Ave, Fort Worth, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Agnes Johnson graduated from nursing school in 2012

NPI Data:

NPI Number: 1003251539
Provider Enumeration Date: 05/10/2013
Last Update Date: 05/10/2013

Medicare PECOS Information:

PECOS PAC ID: 7618103292
Enrollment ID: I20131204001836

Medical Identifiers

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

Identifier	Type	State	Issuer
1003251539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	834891 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jps Health Network	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integrative Emergency Services Physician Group Pa	0749447936	59

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. Mary Agnes Johnson allows following entities to bill medicare on her behalf.

Entity Name	Integrative Emergency Services Physician Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285922542 PECOS PAC ID: 0749447936 Enrollment ID: O20120130000932

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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. Mary Agnes 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
Mary Agnes Johnson, NP 2900 Willing Ave, Fort Worth, TX 76110-3446 Ph: (334) 744-0554	Mary Agnes Johnson, NP 1400 8th Ave, Fort Worth, TX 76104-4110 Ph: (817) 922-7070

Reviews and Comments

Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727
Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805
Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014

Mary Agnes Johnson, NP - Medicare Nurse Practitioner in Fort Worth, TX