Mrs Jazzmina Johnson, APRN-RX in Kailua, HI - Medicare Nurse Practitioner

Mrs Jazzmina Johnson, APRN-RX is a medicare enrolled "Nurse Practitioner - Family" in Kailua, Hawaii. Her current practice location is 315 Kuulei Rd, Kailua, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 286-0350.

Mrs Jazzmina Johnson is licensed to practice in Hawaii (license number 1857) 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 1104242668.

Contact Information

	Mrs Jazzmina Johnson, APRN-RX
	315 Kuulei Rd, Kailua, HI 96734-2702
	(808) 286-0350
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jazzmina Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	315 Kuulei Rd, Kailua, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104242668
Provider Enumeration Date: 03/07/2014
Last Update Date: 12/09/2022

Medicare PECOS Information:

PECOS PAC ID: 1153688338
Enrollment ID: I20171122002500

Medical Identifiers

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

Identifier	Type	State	Issuer
1104242668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	70011 (Hawaii)	Secondary
363LF0000X	Nurse Practitioner - Family	1857 (Hawaii)	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. Mrs Jazzmina Johnson allows following entities to bill medicare on her behalf.

Entity Name	University Clinical Education & Research Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013966845 PECOS PAC ID: 1658275847 Enrollment ID: O20031120000276

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. Mrs Jazzmina 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
Mrs Jazzmina Johnson, APRN-RX 315 Kuulei Rd, Kailua, HI 96734-2702 Ph: (808) 286-0350	Mrs Jazzmina Johnson, APRN-RX 315 Kuulei Rd, Kailua, HI 96734-2702 Ph: (808) 286-0350

Reviews and Comments

Nurse Practitioner Nurses in Kailua, HI

Made R Alder, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 642 Ulukahiki St Ste 209, Kailua, HI 96734 Phone: 808-230-8500 Fax: 808-230-8501
Ms. Alice Deutsch Mendykowski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 642 Ulukahiki St, Kailua, HI 96734 Phone: 808-263-5050 Fax: 808-263-5054
Ronny Fujimoto, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Hamakua Dr, Kailua, HI 96734 Phone: 808-432-3400
Dionicia A C Mau, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Hamakua Dr, Kailua, HI 96734 Phone: 808-432-3400
Liesl Noel Wyka, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 N Kalaheo Ave Ste C316, Kailua, HI 96734 Phone: 808-488-5555
Rozlynn Kehaulani Dela Pina, AG-ACNP/APP/APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Aulike St Ste 411, Kailua, HI 96734 Phone: 808-452-1379 Fax: 808-201-4961
Michelle L Shanks, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 Keolu Dr Ste A, Kailua, HI 96734 Phone: 808-727-1715

Mrs Jazzmina Johnson, APRN-RX - Medicare Nurse Practitioner in Kailua, HI