Miss Alice Victoria Johnson, CPNP - Medicare Nurse Practitioner in New York, NY

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Miss Alice Victoria Johnson, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in New York, New York. Her current practice location is 355 E 88th St, Apt 2d, New York, New York. You can reach out to her office (for appointments etc.) via phone at (248) 470-2065.

Miss Alice Victoria Johnson is licensed to practice in New York (license number 382724) 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 1639520273.

Contact Information

Miss Alice Victoria Johnson, CPNP
355 E 88th St, Apt 2d,
New York, NY 10128-4904
(248) 470-2065
Not Available

Map and Direction




Provider's Profile

Full NameMiss Alice Victoria Johnson
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location355 E 88th St, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639520273
  • Provider Enumeration Date: 06/24/2016
  • Last Update Date: 03/01/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3971870882
  • Enrollment ID: I20200305002526

Medical Identifiers

Medical identifiers for Miss Alice Victoria Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639520273NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 382724 (New York)Primary
163W00000XRegistered Nurse 700935 (New York)Secondary

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. Miss Alice Victoria Johnson allows following entities to bill medicare on her behalf.
Entity NameUcsf Pediatrics Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Dept Of Surgery
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477627537
PECOS PAC ID: 7719886373
Enrollment ID: O20040102000839
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513

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. Miss Alice Victoria 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 AddressPractice Location Address
Miss Alice Victoria Johnson, CPNP
355 E 88th St, Apt 2d,
New York, NY 10128-4904

Ph: (248) 470-2065		Miss Alice Victoria Johnson, CPNP
355 E 88th St, Apt 2d,
New York, NY 10128-4904

Ph: (248) 470-2065

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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