Michael Johnson, CRNA in Charlevoix, MI - Medicare Nurse Anesthetist, Certified Registered

Michael Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charlevoix, Michigan. His current practice location is 14700 Lake Shore Dr, Charlevoix, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 547-4024.

Michael Johnson is licensed to practice in Michigan (license number 4704223453) 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 1114000668.

Contact Information

	Michael Johnson, CRNA
	14700 Lake Shore Dr, Charlevoix, MI 49720-1931
	(231) 547-4024
	(231) 547-8088

Map and Direction

Provider's Profile

Full Name	Michael Johnson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	14700 Lake Shore Dr, Charlevoix, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114000668
Provider Enumeration Date: 10/20/2006
Last Update Date: 08/12/2019

Medicare PECOS Information:

PECOS PAC ID: 3072700186
Enrollment ID: I20101214001253

Medical Identifiers

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

Identifier	Type	State	Issuer
1114000668	NPI	-	NPPES
MJ223453	Other	MI	BLUE SHIELD STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704223453 (Michigan)	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. Michael Johnson allows following entities to bill medicare on his behalf.

Entity Name	Mackinac Straits Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659536035 PECOS PAC ID: 1456420876 Enrollment ID: O20080930000157

Entity Name	Sleepsmith Staffing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114463379 PECOS PAC ID: 8325320369 Enrollment ID: O20170126001573

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. Michael 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
Michael Johnson, CRNA 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 Ph: (231) 547-4024	Michael Johnson, CRNA 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 Ph: (231) 547-4024

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charlevoix, MI

Michael C Macmillan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12375 Indian Place Dr, Charlevoix, MI 49720 Phone: 231-547-2496 Fax: 231-547-2823
Mark Leroy Vanderweide, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14700 Lake Shore Dr, Charlevoix, MI 49720 Phone: 231-547-4024
Jennifer L Simons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 Lake Shore Dr, Charlevoix, MI 49720 Phone: 231-547-4024
Mel Choponis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14700 Lake Shore Dr, Charlevoix, MI 49720 Phone: 231-547-4024 Fax: 231-547-8088
Kenneth Forrester, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14700 Lake Shore Dr, Charlevoix, MI 49720 Phone: 231-547-4024 Fax: 231-547-8088
Madeline Jeakle Nemes, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14700 Lake Shore Dr, Charlevoix, MI 49720 Phone: 231-547-4024

Michael Johnson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Charlevoix, MI