Mr Troy Lee Johnson, CFNP, CRNA is a
Nurse Anesthetist, Certified Registered based in Whiteriver, Arizona. Mr Troy Lee Johnson is licensed to practice in Arizona (license number CRNA0700) and his current practice location is
200 W. Hospital Dr, Whiteriver, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 338-4911.
NPI number for Mr Troy Lee Johnson is 1619080280 and his current mailing address is Po Box 860, 200 W Hospital Dr, Whiteriver, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619080280.
Provider's Profile
| Full Name | Mr Troy Lee Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 200 W. Hospital Dr, Whiteriver, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619080280
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 02/22/2013
Medical Identifiers
Medical identifiers for Mr Troy Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619080280 | NPI | - | NPPES |
| 851213 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AP1681 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 062492-23 (New Hampshire) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA0700 (Arizona) | Primary |
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 Troy Lee Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Troy Lee Johnson, CFNP, CRNA
Po Box 860, 200 W Hospital Dr,
Whiteriver, AZ 85941
Ph: (928) 338-4911 | Mr Troy Lee Johnson, CFNP, CRNA
200 W. Hospital Dr,
Whiteriver, AZ 85941-0860
Ph: (928) 338-4911 |
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