Mr Johnson Vachachira, FNP in Woodridge, IL - Medicare Nurse Practitioner

Mr Johnson Vachachira, FNP is a medicare enrolled "Nurse Practitioner - Family" in Woodridge, Illinois. His current practice location is 8645 Woodward Ave, Woodridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (866) 389-2727.

Mr Johnson Vachachira is licensed to practice in Illinois (license number 209009538) 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 1225384092.

Contact Information

	Mr Johnson Vachachira, FNP
	8645 Woodward Ave, Woodridge, IL 60517-3148
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Johnson Vachachira
Gender	Male
Speciality	Nurse Practitioner - Family
Location	8645 Woodward Ave, Woodridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225384092
Provider Enumeration Date: 07/31/2012
Last Update Date: 04/13/2020

Medicare PECOS Information:

PECOS PAC ID: 2163676461
Enrollment ID: I20130214000537

Medical Identifiers

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

Identifier	Type	State	Issuer
1225384092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209009538 (Illinois)	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. Mr Johnson Vachachira allows following entities to bill medicare on his behalf.

Entity Name	Premise Health Of Illinois Medical, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619

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 Johnson Vachachira 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 Johnson Vachachira, FNP 11200 Lincoln Hwy, Mokena, IL 60448-8208 Ph: (866) 389-2727	Mr Johnson Vachachira, FNP 8645 Woodward Ave, Woodridge, IL 60517-3148 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Woodridge, IL

Mrs. Justine Nicole Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3329 75th St Ste 200, Woodridge, IL 60517 Phone: 630-964-9400 Fax: 630-964-9375
Jennifer Marie Lurgio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6325 Main St, Suite 120, Woodridge, IL 60517 Phone: 630-964-0506 Fax: 630-541-7485
Amanda Marie Biskup, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3329 75th Street, Woodridge, IL 60517 Phone: 630-527-3645 Fax: 630-548-7635
Jasmin Arayil Pappachan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1816 Chippingham Rd # A, Woodridge, IL 60517 Phone: 630-445-3538
Jakeyla Reed, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8027 Janes Ave Apt 4, Woodridge, IL 60517 Phone: 312-388-5046
Courtney Cowan, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3540 Seven Bridges Drive, Ste 230, Woodridge, IL 60517 Phone: 630-964-9400 Fax: 630-964-9375

Mr Johnson Vachachira, FNP - Medicare Nurse Practitioner in Woodridge, IL