Mr Johnny Phillip Payne, FNP DNP in Medford, OR

Mr Johnny Phillip Payne, FNP DNP is a medicare enrolled "Nurse Practitioner" in Medford, Oregon. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Nisha Jackson Inc. and his current practice location is 2655 Siskiyou Blvd, Medford, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 304-8008.

Mr Johnny Phillip Payne is licensed to practice in Oregon (license number 201250098NP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962638452.

Contact Information

	Mr Johnny Phillip Payne, FNP DNP
	2655 Siskiyou Blvd, Medford, OR 97504-8125
	(541) 304-8008
	(541) 612-3557

Map and Direction

Provider's Profile

Full Name	Mr Johnny Phillip Payne
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	2655 Siskiyou Blvd, Medford, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Johnny Phillip Payne graduated from nursing school in 2012

NPI Data:

NPI Number: 1962638452
Provider Enumeration Date: 06/10/2009
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 1153578034
Enrollment ID: I20120828000765

Medical Identifiers

Medical identifiers for Mr Johnny Phillip Payne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962638452	NPI	-	NPPES
201250098NP	Other	OR	OREGON LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	201250098NP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Asante Rogue Regional Medical Center	Medford, OR	Hospital
Providence Medford Medical Center	Medford, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nisha Jackson Inc.	6305147745	37

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. Mr Johnny Phillip Payne allows following entities to bill medicare on his behalf.

Entity Name	Rogue Functional Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336485846 PECOS PAC ID: 9739324062 Enrollment ID: O20130314000281

Entity Name	Comprehensive Pain Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609270560 PECOS PAC ID: 1759605918 Enrollment ID: O20150115002438

Entity Name	Nisha Jackson Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124499124 PECOS PAC ID: 6305147745 Enrollment ID: O20151209000878

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. Mr Johnny Phillip Payne 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
Mr Johnny Phillip Payne, FNP DNP 2655 Siskiyou Blvd, Medford, OR 97504-8125 Ph: (541) 304-8008	Mr Johnny Phillip Payne, FNP DNP 2655 Siskiyou Blvd, Medford, OR 97504-8125 Ph: (541) 304-8008

Reviews and Comments

Nurse Practitioner Nurses in Medford, OR

Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003
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Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 State St, Medford, OR 97504 Phone: 541-779-1672
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315
Matthew Filoon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 E Barnett Rd, Medford, OR 97504 Phone: 541-789-4673 Fax: 541-789-2121

Mr Johnny Phillip Payne, FNP DNP - Medicare Nurse Practitioner in Medford, OR