Mr Randall Silven Johnston Ii, A-GNP-C in Bossier City, LA

Mr Randall Silven Johnston Ii, A-GNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Bossier City, Louisiana. His current practice location is 2890 Douglas Dr # 100, Bossier City, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 742-6900.

Mr Randall Silven Johnston Ii is licensed to practice in Louisiana (license number 202864) 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 1891420931.

Contact Information

	Mr Randall Silven Johnston Ii, A-GNP-C
	2890 Douglas Dr # 100, Bossier City, LA 71111-5806
	(318) 742-6900
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Randall Silven Johnston Ii
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	2890 Douglas Dr # 100, Bossier City, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891420931
Provider Enumeration Date: 07/21/2022
Last Update Date: 09/15/2022

Medicare PECOS Information:

PECOS PAC ID: 8325586894
Enrollment ID: I20240814004954

Medical Identifiers

Medical identifiers for Mr Randall Silven Johnston Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891420931	NPI	-	NPPES
AG05220099	Other		AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
202864	Other	LA	LOUISIANA STATE BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	202864 (Louisiana)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	202864 (Louisiana)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	202864 (Louisiana)	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 Randall Silven Johnston Ii allows following entities to bill medicare on his behalf.

Entity Name	Louisiana Family Medicine Clinic 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548538200 PECOS PAC ID: 4183889009 Enrollment ID: O20120627000379

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 Randall Silven Johnston Ii 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 Randall Silven Johnston Ii, A-GNP-C 1333 Coates Bluff Dr Apt 1525, Shreveport, LA 71104-2800 Ph: (318) 229-8539	Mr Randall Silven Johnston Ii, A-GNP-C 2890 Douglas Dr # 100, Bossier City, LA 71111-5806 Ph: (318) 742-6900

Reviews and Comments

Nurse Practitioner Nurses in Bossier City, LA

Mrs. Collette G Brown, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr Ste 400, Bossier City, LA 71111 Phone: 318-212-7902 Fax: 318-212-7905
Mrs. Crystal Boyer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Wills Way, Bossier City, LA 71112 Phone: 318-617-3734
Celina Marsha Brown, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1524 Doctors Dr, Bossier City, LA 71111 Phone: 318-742-1623
Twyla Hurst, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3330 Barksdale Blvd, Bossier Family Medical Clinic, Bossier City, LA 71112 Phone: 318-841-5541 Fax: 318-841-5545
Cortney L Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 330, Bossier City, LA 71111 Phone: 318-212-7848 Fax: 318-212-7855
Ava C Mcelwee, APRNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr, Suite 140, Bossier City, LA 71111 Phone: 318-746-4842 Fax: 318-746-2326
Stacey Wright Eaves, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Ste. 450, Bossier City, LA 71111 Phone: 318-752-2328 Fax: 318-746-0160

Mr Randall Silven Johnston Ii, A-GNP-C - Medicare Nurse Practitioner in Bossier City, LA