Mr Travis William Johnson, CRNA in Ridgecrest, CA - Medicare Nurse Anesthetist, Certified Registered

Mr Travis William Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ridgecrest, California. His current practice location is 1081 N China Lake Blvd, Ridgecrest, California. You can reach out to his office (for appointments etc.) via phone at (760) 446-3551.

Mr Travis William Johnson is licensed to practice in California (license number 2251) 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 1750315529.

Contact Information

	Mr Travis William Johnson, CRNA
	1081 N China Lake Blvd, Ridgecrest, CA 93555-3130
	(760) 446-3551
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Travis William Johnson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1081 N China Lake Blvd, Ridgecrest, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750315529
Provider Enumeration Date: 07/10/2006
Last Update Date: 09/05/2007

Medicare PECOS Information:

PECOS PAC ID: 4587552971
Enrollment ID: I20040308000819

Medical Identifiers

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

Identifier	Type	State	Issuer
1750315529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP2201X	Registered Nurse - Ambulatory Care	308421 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2251 (California)	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 Travis William Johnson allows following entities to bill medicare on his behalf.

Entity Name	Kern Valley Healthcare District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427049964 PECOS PAC ID: 8628069689 Enrollment ID: O20040519001345

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 Travis William 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
Mr Travis William Johnson, CRNA 248 N Sunland St, Ridgecrest, CA 93555-3925 Ph: (760) 375-3070	Mr Travis William Johnson, CRNA 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 Ph: (760) 446-3551

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Ridgecrest, CA

Mrs. Samantha Robertson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2002 Intrepid Rd, Ridgecrest, CA 93555 Phone: 336-693-4898
Mr. Eric L Flaten, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-3551 Fax: 760-499-3014
Mr. Richard Alan Vroman, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 714-935-0073 Fax: 714-935-0075
Emily Goldammer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 308-631-0944
Ernest Andrew Quier, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 648 North Scott, Ridgecrest, CA 93555 Phone: 760-793-1121
Mr. Kevin Peter Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 951-294-1116

Mr Travis William Johnson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Ridgecrest, CA